{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                           
{"provider_group_id":766528805,"network_name":["CCI Individual Exchange Choice Network"],"provider_groups":[{"npi":[1689842148,1669431904,1750379434,1144215633,1881689396,1255366332,1265750749,1932194438,1144317793,1083779060,1922093400,1326363102,1508212861,1093078503,1972643906,1164466744,1669761722,1891993325,1316575020,1043446834,1548243090,1659726644,1639164106,1558725929,1538145008,1194988774,1811930910,1003029620,1124184981,1508246273,1891701777,1528414257,1124090782,1255653952,1770502361,1548516131,1881859247,1356784490,1760468904,1124209622,1093703779,1528098696,1144218819,1952697484,1336374305,1184864100,1467748392,1972798833,1639708597,1437132826,1528056280,1407956238],"tin":{"type":"ein","value":"060865643","business_name":"No business name found"}},{"npi":[1669586947,1386751923,1518248954,1295710325,1821679697,1780824136,1235222506,1831184977,1154545754,1275507576,1497195176,1952338147,1730477761,1417960261,1346246444,1679946784,1184868374,1467835785,1780643759,1083906416,1063489045,1407482854,1205815487,1699960856,1891019519,1174044176,1467649558,1871579318,1326401787,1619924958,1689690216,1497946339,1609872845,1689651143,1982038618,1780679472,1134356298,1154331031,1174540694,1437705381,1447869110,1346534864,1578503967,1790954931,1790860419,1457422057,1689775918,1225036981,1770916355,1982922332,1447633730,1528414653,1780069930,1043441439,1154446615,1801086509,1265798474,1679763825,1649331919,1396935367,1376540005,1376638189,1942723986,1861498685,1205895216,1841631884,1669447207,1477916179,1255520060,1962681403,1831168996,1861467367,1225792500,1992241582,1295181725,1518390186,1912424359,1780910836,1205814399,1417195793,1639417397,1588639082,1306804257,1821083999,1508872615,1124212758,1013161967,1437343688,1174099410,1881705572,1730414293,1255619052,1114943214,1417923160,1871800888,1235444563,1811976111,1730828948,1396800827,1902324205,1205367117,1497183446,1932436508,1043635477,1215132949,1427252584,1174605398,1306937255,1366745788,1841626314,1568460186,1841394137,1629043997,1700316668,1407046295,1902219462,1528478138,1205964426,1326047549,1902963325,1023261690,1457705972,1386178093,1417991688,1750357596,1063832590,1366946956,1861507956,1225048168,1306815469,1679709323,1629694369,1023094158,1861759516,1932463460],"tin":{"type":"ein","value":"203075422","business_name":"No business name found"}},{"npi":[1679627798,1750719902,1457324758,1881183325,1245918754,1497828628,1871751917,1184609422,1285472910,1477173599,1891181590,1649953811,1760029342,1851193411,1790975191,1710736061,1942503875,1952783813,1699478644,1649612599,1225041361,1518914084,1750570172,1477579407,1063597151,1154788388,1558619536,1518206911,1972148047,1720087919,1821817057,1376255521,1912435587,1124485941,1407524762,1255509212,1700015104,1023129491,1881828929,1801616263,1720463375,1356539274,1063421659,1851365738,1053351403,1407818404,1992765713,1629200969,1629774906,1689837098,1649243643,1750467205,1760668487,1023267580,1740216381,1033628656,1962741348,1194618959,1154957652,1790965150,1376806943,1700827466,1386795326,1801934310,1689827990,1457795015,1528013224,1609889419,1841842622,1932743929,1952460636,1649954975,1962552885,1356789549,1588892202,1932857117,1992746135,1982353777,1790078947,1598590333,1114038445,1609875046,1508879610,1710203666,1487378451,1639607245,1083056113,1639135783,1356497176,1508350513,1316723067,1558453654,1467553883,1508645904,1871596833,1083255509,1841409976,1083901755,1760712616,1730176306,1750477576,1275350696,1245644459,1841410743,1497729347,1346291903,1205858560,1760448930,1073730065,1891336293,1144227018,1003853268,1265800023,1356389571,1720686942,1740977438,1083839914,1316981988,1972163137,1558428540,1689311623,1861551707,1992795355,1982907879,1255839247,1003816117,1184935322,1700883568,1306116405,1013953439,1447409099,1144081274,1912124454,1407968639,1457399388,1558990234,1588675698,1548429517,1720448533,1538720792,1144224536,1013189174,1841818259,1720399793,1588639082,1376072595,1861406191,1033590591,1770862039,1679775795,1336596709,1215049184,1760044515,1346209459,1952892085,1457096273,1831368521,1740638881,1417954199,1528007432,1023845716,1467490128,1568975266,1457493751,1801205521,1578012944,1790914158,1750797122,1699311753,1487893939,1982657805,1598797037,1831232636,1568400653,1023488145,1215566849,1790725919,1316469299,1740358282,1588641955,1942370234,1023669264,1679686117],"tin":{"type":"ein","value":"050459095","business_name":"No business name found"}},{"npi":[1982766325,1154321974,1780028530,1710969282,1467427948,1942285960,1942812623,1255458196,1558011148,1275585390,1477791705,1922356617,1912992645,1336155118,1255334207,1295700813,1366778268,1528028198,1952888398,1588605992,1598383556,1538575154,1972578508,1386045367,1023273265,1184928392,1407099484,1932596244,1912959172,1932546058,1457848418,1912908393,1053757625,1083668883,1568210110,1760867204,1073133708,1831446962,1386810182,1376782789,1295722031,1750797379,1902871304,1295971737,1992766802,1346281375,1215019435,1750600300,1902669872,1588659767,1043466022,1700193281,1033736970,1033437074,1932226735,1700223815,1487874483,1932192796,1043270622,1336373232,1518125699,1518932524,1306417753,1477553972,1811275993,1770746018,1992117089,1487698866,1154396927,1518061738,1972571354,1700251378,1821816885,1255493698,1730594821,1730345794,1740255959,1770736159,1760821094,1932779576,1962576892,1114518776,1043441439,1477867455,1568420115,1619149515,1942452511,1326376898,1922536226,1932173994,1154789840,1770010399,1538144548,1346657558,1659040541,1568436830,1184004400,1548245491,1043892094,1730296328,1336155860,1982627188,1417940271,1245530682,1376813972,1083665616,1376517136,1497701072,1457365363,1437532868,1477077469,1962962357,1386934578,1932357548,1629048780,1083881544,1598723124,1700932522,1275143778,1942445861,1922660844,1619285426,1255315149,1457493751,1659609352,1295202927,1386900165,1093119216,1477993582,1801901079,1528605755,1265065551,1780365155,1689617292,1649929159,1477916179,1235496936,1588639629,1386340065,1801814611,1346200946,1053375915,1467112250,1962758508,1598749459,1114511748,1831601848],"tin":{"type":"ein","value":"454077626","business_name":"No business name found"}},{"npi":[1184723850,1790270825,1619903754,1598730905,1003914102,1588042220,1174857510,1497953095,1912923889,1922522705,1528598364,1952420390,1942527403,1407977119,1407918709,1023549722,1801846670,1548634041,1962896092,1922023829,1114388535,1376562991,1871653691,1780604017,1629013123,1336571165,1942312202,1073552774,1568873164,1558386292,1013367515,1083781231,1023468550,1881981298,1508207952,1962848457,1689654659,1013019769,1225268626,1013977065,1609895366,1699026633,1174711741,1386826527,1710418017,1396836714,1083707533,1619388352,1962874792,1194807800,1144229006,1760867204,1972786903,1275518102,1710211370,1477515625,1235443516,1538423488,1164420006,1467943381,1720332331,1932637949,1386039410,1962699389,1447356894,1003123985,1124148895,1154748879,1588195861,1184916843,1770025132,1104176122,1144511189,1134383003,1538183744],"tin":{"type":"ein","value":"061468467","business_name":"No business name found"}},{"npi":[1952325037,1124074083,1598295347,1063405819,1093236945,1770512915,1992769715,1215124698,1083123558,1417933961,1760442966],"tin":{"type":"ein","value":"800925256","business_name":"No business name found"}},{"npi":[1053593863],"tin":{"type":"ein","value":"061014243","business_name":"No business name found"}},{"npi":[1467526772,1336148873,1841263431],"tin":{"type":"ein","value":"061301936","business_name":"No business name found"}},{"npi":[1124543632,1578965620,1689267080,1215512264,1659737914,1336153386,1780271387,1689113433,1023480829,1063994812,1295622009,1740919513,1881312395,1356512800,1275539892,1447967559,1396112207,1477556504,1336887587,1033458344,1225364557,1568945004,1164850756,1386317550,1891338398,1023447281,1306142351,1326528415,1265150965,1013507110,1871851311,1629593744,1760117188,1164461273,1578244844,1245705516,1366839334,1407177496,1952496671,1609004985,1295537223,1952535825,1578237400,1659893212,1336395532,1770363657,1114414547,1942780382,1790730950,1760034086,1518738590,1568795821,1043740475,1679024541,1992132237,1740670421,1346506896,1871023341,1669926960,1942899638,1588097430,1780910836,1669456976,1225711161,1710418017,1396757902,1417300112],"tin":{"type":"ein","value":"823431383","business_name":"No business name found"}},{"npi":[1487792065,1710027040,1467639831],"tin":{"type":"ein","value":"061345029","business_name":"No business name found"}},{"npi":[1447220462,1962984468,1356739361,1447652912,1841626314,1952847725,1730797721,1942362082,1144055351,1205611431,1770159238],"tin":{"type":"ein","value":"800893444","business_name":"No business name found"}},{"npi":[1538456793,1073587820,1154509339,1699749135,1669445250,1982678421,1144511924,1902029119],"tin":{"type":"ein","value":"061087059","business_name":"No business name found"}},{"npi":[1043230469,1265985964,1336229269,1346286523,1821184706,1023273620,1366637084,1588749055,1366818254,1285063446,1114411766,1306041728,1679805287,1689654659,1336124437,1568558690,1104925254,1063643369,1013060599,1245261551,1073920971,1740441385,1356421242,1265467633,1205168960,1154413615,1013901453,1467749051,1013977065,1104146307,1609841675,1952344145,1154561884,1346222551,1992769715,1629168943,1598065245,1609828334,1093848921,1093780074,1265407233,1538244421,1407830128,1679850408,1285683953,1437170370,1952328759,1881651644,1902152960,1720023294,1174541197],"tin":{"type":"ein","value":"522376612","business_name":"No business name found"}},{"npi":[1629431614],"tin":{"type":"ein","value":"460667001","business_name":"No business name found"}},{"npi":[1336421171],"tin":{"type":"ein","value":"364712307","business_name":"No business name found"}},{"npi":[1790770352],"tin":{"type":"ein","value":"161714143","business_name":"No business name found"}},{"npi":[1376220442,1629206743,1881172500,1861254450,1083890065,1841854593,1174175657,1679077754,1437456068,1659354827,1972331114,1639053655,1124888987,1265923288,1518643154,1033773569,1235540386,1265631980],"tin":{"type":"ein","value":"060867065","business_name":"No business name found"}},{"npi":[1972513125,1548612518,1831765429,1083059984,1720559438,1003841321,1033788237,1255974770,1508315730,1629543277,1518191667],"tin":{"type":"ein","value":"237061218","business_name":"No business name found"}},{"npi":[1063408581,1275793788,1518954825,1841823911,1982808556,1992791800,1871140384,1811526494,1639165517,1346542313,1568458479],"tin":{"type":"ein","value":"043402361","business_name":"No business name found"}},{"npi":[1619968914,1104813955,1184612855],"tin":{"type":"ein","value":"060873711","business_name":"No business name found"}},{"npi":[1023125523],"tin":{"type":"ein","value":"270377917","business_name":"No business name found"}},{"npi":[1053417709,1154593028,1689696072,1780768085,1548242647,1710129788,1255995676,1801047899,1376863720,1275591976,1740548866,1174651848,1942469564,1346504511,1346479920,1881799351,1811139199],"tin":{"type":"ein","value":"421648473","business_name":"No business name found"}},{"npi":[1265450845,1982694881,1871561076,1760407068,1477533396,1093731358,1548439060,1962938944,1568522191,1285730804,1851386403,1740635036,1801829015,1083905897,1205801321,1306145057,1336165471,1598044661,1740622455,1639194921,1811966906,1073747259,1144456484,1578727434,1841228004,1740451152,1235472218,1255860011,1871608539,1750347126,1467434613,1356609234,1144411380],"tin":{"type":"ein","value":"542096893","business_name":"No business name found"}},{"npi":[1992093603,1366828907,1871728972],"tin":{"type":"ein","value":"843246321","business_name":"No business name found"}},{"npi":[1144586371,1073839882,1114990561,1255330379,1780683615,1619364452,1194085704,1053842989,1023403318,1598764615,1225569700,1104321694,1497753933,1952300964,1710162011,1003847377,1306283502,1578829669,1477735165,1619154101,1144227331,1396187605,1053583401,1972676229,1821097445,1477828796,1588839070,1851391700,1376543231,1548268071,1922007632,1730368721,1023543295,1023239555],"tin":{"type":"ein","value":"141540066","business_name":"No business name found"}},{"npi":[1265083513,1952340887],"tin":{"type":"ein","value":"300532679","business_name":"No business name found"}},{"npi":[1760407068,1255860011,1467434613,1962938944,1750347126,1144593005,1144456484,1073747259,1578727434,1235472218,1639194921,1306145057,1568522191,1740622455,1982694881,1083905897,1871561076,1871608539,1164552014,1841228004,1811966906,1851386403,1265450845,1740451152],"tin":{"type":"ein","value":"132673297","business_name":"No business name found"}},{"npi":[1033170675,1477529303],"tin":{"type":"ein","value":"208081784","business_name":"No business name found"}},{"npi":[1578727434,1740622455,1740635036,1760407068,1851386403,1306145057,1811966906,1144411380,1639194921,1336165471,1073747259,1255860011,1871561076,1477533396,1467434613,1285730804,1841228004,1639448020,1083905897,1801829015,1871608539,1740451152,1144456484,1962938944,1205801321,1982694881,1265450845,1235472218,1356609234,1568522191,1598044661,1093731358,1740478494,1932343076],"tin":{"type":"ein","value":"710901138","business_name":"No business name found"}},{"npi":[1346334604,1891058228,1003832437,1356589725,1184668196,1811949670,1518976000,1669474995,1861494916,1255573671,1376934240,1295744902,1760825210,1225622756,1578574935,1366409229,1861085334,1861496481,1174843213,1194082016,1083610125,1477173441,1639141054,1508417825,1154680478,1629504741,1013623651,1174887830,1750459921,1235298373,1134904592,1063673416,1790742104,1881782985,1043621170,1346343639,1639326424,1306333968,1164874186,1437178860,1164953949],"tin":{"type":"ein","value":"134185781","business_name":"No business name found"}},{"npi":[1013161967,1689690216,1417135195,1326047549,1225036981,1174935894,1578503967,1588639082,1740324730,1023261690,1609872845,1215132949,1427252584,1124212758,1174540694,1790755080,1780830364,1689651143,1871510883,1497946339,1700897196,1861759516,1144494550,1992077051,1417991688,1295710325,1366118341,1992221006,1669586947,1396800827,1225048168,1356647044,1942511431,1083906416,1194021469,1821083999,1861467367,1386751923,1679709323,1750357596,1215113279,1831184977,1386805299,1629043997,1205815487,1851362537,1508874470,1639355209,1659508687,1417960261,1942401815,1780948596,1699960856,1417195793,1801878681,1306804257,1467649558,1619924958,1154331031,1437343688,1063489045,1649331919,1568460186,1346246444,1275507576,1255337317,1679763825,1225353816,1437200292,1861507956,1285911552,1174605398,1720064983,1457422057,1265798474,1841626314,1902077241,1265699920,1841631884,1659631943,1043814379,1881705572,1932295656,1255520060,1508872615,1861498685,1073680716,1518390186,1043403868,1669447207,1457705972,1790860419,1952372559,1356492433,1720258817,1144583899,1952338147,1285676353,1205814399,1912223298,1205895216,1104010503,1972580306,1235222506,1679946784,1407046295,1730484171,1205964426,1497774657,1316263668,1366745788,1104802362,1699072462,1255598835,1003877911,1871579318,1780643759,1669473724,1174795371,1265402549,1306815469,1477596799,1881686616,1902963325,1235444563,1780824136,1841394137,1932436508,1730157298,1801086509,1811976111,1780679472,1245296573,1962681403,1376638189,1760605190,1184662488,1841309192,1154545754,1518248954,1417923160,1114943214,1215115472,1235991167,1396935367,1942780382,1144204363,1992796155,1831168996,1376540005,1447285986,1518731520,1639417397],"tin":{"type":"ein","value":"820678978","business_name":"No business name found"}},{"npi":[1295706307,1649240821,1104270909,1821035502,1902167885,1376667808,1871575381,1538363114,1285613588,1336890136,1689671828,1295728251,1922166073,1841227535,1538147830,1194175224,1083610943,1598745986,1942594718,1093707457,1316264328,1750815650,1639184377,1306126222,1073590295,1306075056,1114978194,1376600064,1306820162,1245712835,1083943260],"tin":{"type":"ein","value":"061111525","business_name":"No business name found"}},{"npi":[1053491597,1013024736,1578558003,1144395716,1407921067,1477692093,1003809385,1649318585,1306916846,1265507768,1205159290],"tin":{"type":"ein","value":"474539584","business_name":"No business name found"}},{"npi":[1639153752,1376776054],"tin":{"type":"ein","value":"200743678","business_name":"No business name found"}},{"npi":[1922368810,1821193277,1811928492,1174763957,1306094776,1174075113],"tin":{"type":"ein","value":"842857239","business_name":"No business name found"}},{"npi":[1710341813,1740375047,1811939101,1962403519,1114176278,1033117999,1366734097,1114921558,1497069009],"tin":{"type":"ein","value":"112498332","business_name":"No business name found"}},{"npi":[1871593137],"tin":{"type":"ein","value":"134148088","business_name":"No business name found"}},{"npi":[1912356668,1801346648],"tin":{"type":"ein","value":"990640243","business_name":"No business name found"}},{"npi":[1609872845],"tin":{"type":"ein","value":"834105979","business_name":"No business name found"}},{"npi":[1497958060,1548383763,1679682892,1184850489,1881700367,1679609465,1821104324],"tin":{"type":"ein","value":"134201240","business_name":"No business name found"}},{"npi":[1710969811,1740622455,1841228004,1740635036,1962938944,1760407068,1578727434,1235472218,1487645438,1255860011,1508824608,1740451152,1851386403,1356609234,1811966906,1306145057,1285730804,1205801321,1336165471,1871561076,1467434613,1265450845,1568522191,1851570139,1144456484,1871608539,1144411380,1982694881,1740478494,1932343076,1750524435,1639448020,1922071851,1477533396,1073747259,1083905897,1750347126,1598044661,1639194921,1093731358,1801829015],"tin":{"type":"ein","value":"141514619","business_name":"No business name found"}},{"npi":[1689648974],"tin":{"type":"ein","value":"463147098","business_name":"No business name found"}},{"npi":[1184652323],"tin":{"type":"ein","value":"830375779","business_name":"No business name found"}},{"npi":[1780670927],"tin":{"type":"ein","value":"464274765","business_name":"No business name found"}},{"npi":[1629237144,1700896487],"tin":{"type":"ein","value":"640963670","business_name":"No business name found"}},{"npi":[1174526016],"tin":{"type":"ein","value":"133782541","business_name":"No business name found"}},{"npi":[1043647415,1760874408,1477123008,1689121725,1023261294,1578706032,1902832777,1598222119,1497142210,1295050722,1346398690,1760683833,1801198148,1417279035,1538289988,1447600945,1194769851,1437528619,1194781039,1114335171,1154663300,1043561251,1679682892],"tin":{"type":"ein","value":"200426527","business_name":"No business name found"}},{"npi":[1003029620],"tin":{"type":"ein","value":"854092192","business_name":"No business name found"}},{"npi":[1003029620,1750379434,1548243090,1881859247,1952697484,1134103773,1811930910,1093703779,1194988774,1184864100,1760468904,1891701777,1922091941,1326363102,1124209622,1669431904,1659726644,1932194438,1689842148,1508212861,1770502361,1164466744,1710958319,1043446834,1144317793,1144218819,1578828471,1528056280,1922093400,1144215633,1356784490,1003804709,1891993325,1528414257,1255366332,1972643906],"tin":{"type":"ein","value":"550854430","business_name":"No business name found"}},{"npi":[1689648545],"tin":{"type":"ein","value":"821042555","business_name":"No business name found"}},{"npi":[1053859249,1265534812,1184218497,1487083382],"tin":{"type":"ein","value":"363966745","business_name":"No business name found"}},{"npi":[1447845516,1548274210,1124112255,1679827372,1336731272,1033135850,1700950839,1487210308,1235195504,1427191618,1386317402,1780874461,1073975371,1548715733,1609934587,1588651756,1063823664,1164448007,1891046918,1730165614,1336463900,1194832485,1255714382,1487661104,1376887950,1316468200,1356306211,1831344456,1528198595,1104917343,1134467954,1558611483,1821307646,1033504766,1053932020,1609290519,1184792152,1871144998],"tin":{"type":"ein","value":"273695360","business_name":"No business name found"}},{"npi":[1962990291,1033138383,1164992939,1316935034,1669577953,1518955236,1790132066,1184121717,1447448477],"tin":{"type":"ein","value":"843568612","business_name":"No business name found"}},{"npi":[1780910836,1558882563,1780884320,1578879284,1376518878,1184097123,1063408953,1689984056,1962681403,1154637296,1326829870,1649045113,1528897022,1144501800,1407217227,1043091408,1750997847,1841735818,1861041121,1154789840,1801633896,1578271078,1922067388,1992460976,1134774516,1598555237,1417230806,1174820245,1285821371,1477589174,1972152338,1659793784,1033579776,1174540694,1861560542,1881086296,1093152050,1245296573,1306319413,1932401379,1790937670,1437681145,1295467181,1316370620,1265073035,1689340747,1265929533,1356987887,1487187605,1952617391,1306815469,1174935894,1457085227,1821248550,1649983222,1952841199,1598016644,1588762116,1477304269,1194219998,1407346323,1669946588,1619482510,1730631342,1164085619,1821434309,1871023341,1568147320,1730584137,1922739671,1720599541,1659963155,1396358404,1992085823,1801149778,1144502386,1861822678,1417135195,1013947621,1184415440,1376106971,1215581202,1467037853,1760117188,1225711161,1093185308,1982919650,1003972878,1184488678,1659611978,1487750782,1467230003,1780338426,1548661754,1447285986,1578941811,1841955663,1124843503,1356711311,1184140394,1194495705,1063113025,1871801605,1396757902,1801948310,1639061807,1033414867,1063489045,1649929159,1265780894,1376546168,1104365071,1730172412,1992708507,1700492006,1215692579,1336847003,1609122787,1295244135,1124672167,1255817888,1952899650,1376999011,1508426552,1558615153,1528587474,1548416241,1780235697,1407426661,1174628986,1467491126,1780271387,1396167086,1265529671,1265001507,1669456976,1336766070,1780404368,1275536369,1710513171,1902349251,1295299592,1891117040,1366118341,1851722797],"tin":{"type":"ein","value":"454748124","business_name":"No business name found"}},{"npi":[1598924029,1952483505,1821198789,1881835510,1225248818],"tin":{"type":"ein","value":"881789146","business_name":"No business name found"}},{"npi":[1841599388],"tin":{"type":"ein","value":"843478125","business_name":"No business name found"}},{"npi":[1629005947,1033133343,1578296562],"tin":{"type":"ein","value":"205201428","business_name":"No business name found"}},{"npi":[1932408002,1447625785,1356587729,1528068921,1497857353,1265864730,1750912622,1063525509,1376744565,1558769935,1497000103,1497934285],"tin":{"type":"ein","value":"061161899","business_name":"No business name found"}},{"npi":[1922180520],"tin":{"type":"ein","value":"853520483","business_name":"No business name found"}},{"npi":[1164620324,1275865131,1912435736,1073704425],"tin":{"type":"ein","value":"872390782","business_name":"No business name found"}},{"npi":[1912592601,1295443604,1851912299,1386115806],"tin":{"type":"ein","value":"921905504","business_name":"No business name found"}},{"npi":[1316092380,1982644001,1548791023,1144334400,1376741249,1073035564,1295285278,1609855352,1639663909,1528307816,1588602320,1811974041,1295712453,1568642486,1346769163,1699017590,1245558980],"tin":{"type":"ein","value":"042817581","business_name":"No business name found"}},{"npi":[1700894177],"tin":{"type":"ein","value":"060999334","business_name":"No business name found"}},{"npi":[1306172689,1558452730,1306448378,1417107517,1427488568,1801368881,1790010700,1497997811,1720552508,1730455783,1912203662,1316313182,1821172669,1710159249,1750575759,1306811740,1174057012,1063954816],"tin":{"type":"ein","value":"743042881","business_name":"No business name found"}},{"npi":[1659003614,1831540327,1508478207,1932715356,1164266730,1265099139,1598261695,1063030013,1487831376,1467590703,1073979498,1902504780,1437888799],"tin":{"type":"ein","value":"933410802","business_name":"No business name found"}},{"npi":[1184604472,1659367001,1265412571,1396700837,1932170891],"tin":{"type":"ein","value":"043480885","business_name":"No business name found"}},{"npi":[1396374591],"tin":{"type":"ein","value":"113742259","business_name":"No business name found"}},{"npi":[1700345717,1437124591,1972511962,1144285800,1710914858,1225007156,1134393283,1336812593,1245277854,1003884529,1104035443,1811971310,1861612384,1225204969,1578531075,1427025907,1417112921,1861416489,1366411258,1316022403,1073581096,1134141757],"tin":{"type":"ein","value":"042479693","business_name":"No business name found"}},{"npi":[1700014578,1386704229,1760468904,1447576905,1962429746,1710997481],"tin":{"type":"ein","value":"060858190","business_name":"No business name found"}},{"npi":[1114511219,1235282583,1215958129,1588793400,1164313466,1699183574,1073926747,1821313479,1144476409,1801076039,1609856897,1255352167,1871234658,1467767699,1124009451,1023143815,1982160123,1477733608,1366726432,1568507556],"tin":{"type":"ein","value":"060646656","business_name":"No business name found"}},{"npi":[1942592183,1255656096,1356658157,1861776486,1053566505,1780019596,1255722104,1588626782,1891755443,1699196030,1295155232,1487946612],"tin":{"type":"ein","value":"921319178","business_name":"No business name found"}},{"npi":[1649741786,1457447153,1407101819,1497868053,1801282470,1386838803,1407892250,1205006822,1912065970,1225095425,1316116338,1033525407,1407942006],"tin":{"type":"ein","value":"060867201","business_name":"No business name found"}},{"npi":[1063511210,1629332820,1336644491,1700038858,1689782401,1891364923],"tin":{"type":"ein","value":"200486952","business_name":"No business name found"}},{"npi":[1548270572,1376553396,1447260476,1932119955,1730199779,1134373251],"tin":{"type":"ein","value":"061322842","business_name":"No business name found"}},{"npi":[1063494847],"tin":{"type":"ein","value":"126343302","business_name":"No business name found"}},{"npi":[1437381522],"tin":{"type":"ein","value":"830990099","business_name":"No business name found"}},{"npi":[1780632968],"tin":{"type":"ein","value":"800194844","business_name":"No business name found"}},{"npi":[1114966561],"tin":{"type":"npi","value":"1114966561"}},{"npi":[1003826140,1215642673],"tin":{"type":"ein","value":"843680648","business_name":"No business name found"}},{"npi":[1578154530,1710630801,1174872469,1326888066,1922739671,1831986710,1861969966,1013387240,1598420309,1699023168],"tin":{"type":"ein","value":"871787987","business_name":"No business name found"}},{"npi":[1689644973],"tin":{"type":"ein","value":"134037432","business_name":"No business name found"}},{"npi":[1538321542],"tin":{"type":"ein","value":"263443304","business_name":"No business name found"}},{"npi":[1629378443,1427791334,1669015186,1912474024,1659802411,1770054595,1720564230,1013492305,1003001587,1942991989,1154317147,1053598540,1770058208],"tin":{"type":"ein","value":"851358666","business_name":"No business name found"}},{"npi":[1134651318,1205671328,1275027302,1679611701,1942680616,1770579575,1225697907,1760720817,1417005000,1174721138,1932356508,1063998425,1316509631,1730245606,1992708226,1174815096],"tin":{"type":"ein","value":"932868664","business_name":"No business name found"}},{"npi":[1558359935],"tin":{"type":"ein","value":"082784202","business_name":"No business name found"}},{"npi":[1588601793],"tin":{"type":"ein","value":"133288357","business_name":"No business name found"}},{"npi":[1740451152,1306145057,1336165471,1811966906,1235472218,1962938944,1144593005,1073747259,1760407068,1871561076,1841228004,1871608539,1356609234,1255860011,1265450845,1093731358,1144411380,1083905897,1740622455],"tin":{"type":"ein","value":"141578044","business_name":"No business name found"}},{"npi":[1790775583,1043248057,1548200827],"tin":{"type":"ein","value":"133985922","business_name":"No business name found"}},{"npi":[1679682892],"tin":{"type":"ein","value":"364566064","business_name":"No business name found"}},{"npi":[1669463303,1093704298,1841485695,1912059502],"tin":{"type":"ein","value":"262792629","business_name":"No business name found"}},{"npi":[1982320925,1780945212],"tin":{"type":"ein","value":"922531875","business_name":"No business name found"}},{"npi":[1649664731,1366118069,1689625188,1689339871,1548457260],"tin":{"type":"ein","value":"832572649","business_name":"No business name found"}},{"npi":[1376540005,1184727273],"tin":{"type":"ein","value":"922343341","business_name":"No business name found"}},{"npi":[1730468547],"tin":{"type":"ein","value":"462340950","business_name":"No business name found"}},{"npi":[1952575573,1255086864,1205327566,1649664731,1306815980,1093276750,1861019408,1861651432],"tin":{"type":"ein","value":"464844697","business_name":"No business name found"}},{"npi":[1902891393,1043643620,1043287873,1619047958],"tin":{"type":"ein","value":"471198641","business_name":"No business name found"}},{"npi":[1770571135],"tin":{"type":"ein","value":"133901519","business_name":"No business name found"}},{"npi":[1518035997],"tin":{"type":"ein","value":"133900961","business_name":"No business name found"}},{"npi":[1568498640],"tin":{"type":"ein","value":"651195935","business_name":"No business name found"}},{"npi":[1740451152,1740622455,1306145057,1962938944,1811966906,1871608539,1356609234,1639194921,1487645438,1063702082,1851386403],"tin":{"type":"ein","value":"133625316","business_name":"No business name found"}},{"npi":[1801850631,1851506869,1649513144,1689803736,1548406747,1538420823,1063742534,1497002703],"tin":{"type":"ein","value":"474035304","business_name":"No business name found"}},{"npi":[1306002373,1306822101,1639178742,1790917813,1508939281,1487649554,1932272697],"tin":{"type":"ein","value":"113466729","business_name":"No business name found"}},{"npi":[1881185973],"tin":{"type":"ein","value":"462578077","business_name":"No business name found"}},{"npi":[1750775847,1225591639,1518128586,1649235235,1710279856,1588083554,1962445684,1124280631,1174728232,1932330511,1114085206,1396868485,1205254075,1871560375,1760845341,1154435022,1003883232,1588971998,1922034479,1598969172,1104351808,1104023829,1023124260,1295269744,1629287222,1992190433,1447223326,1639178296,1215957162,1831256916,1518060789,1346281375],"tin":{"type":"ein","value":"830766085","business_name":"No business name found"}},{"npi":[1508824608],"tin":{"type":"ein","value":"112523946","business_name":"No business name found"}},{"npi":[1720007560,1316547714,1295053486,1578294633,1134445653],"tin":{"type":"ein","value":"850748140","business_name":"No business name found"}},{"npi":[1245616705,1689690216],"tin":{"type":"ein","value":"474547131","business_name":"No business name found"}},{"npi":[1578706032],"tin":{"type":"ein","value":"010823798","business_name":"No business name found"}},{"npi":[1316670854,1033932827,1679560049,1174533475,1750378139,1336571835,1871597120,1194080721,1770214785,1639388424,1447247937,1750377669,1598100828,1164577821],"tin":{"type":"ein","value":"042647814","business_name":"No business name found"}},{"npi":[1972828655,1619540945,1134663958,1578941811,1568725273,1336488675,1215692579,1275027690,1912595174,1861181927,1366820235,1265985964,1619482510,1720262397,1366263931],"tin":{"type":"ein","value":"475675614","business_name":"No business name found"}},{"npi":[1124489307],"tin":{"type":"ein","value":"921561162","business_name":"No business name found"}},{"npi":[1982427928,1669243937,1407234685,1073392817,1194242008,1487035168,1184478596],"tin":{"type":"ein","value":"923947158","business_name":"No business name found"}},{"npi":[1780271387],"tin":{"type":"ein","value":"991160513","business_name":"No business name found"}},{"npi":[1821639360,1760466528,1003574997,1588855597,1457622003,1801423207,1871597310,1265541056],"tin":{"type":"ein","value":"814936645","business_name":"No business name found"}},{"npi":[1609823368,1689630766,1356896096,1891751228],"tin":{"type":"ein","value":"813372425","business_name":"No business name found"}},{"npi":[1255482147,1457752107,1861943375,1033727078],"tin":{"type":"ein","value":"834635652","business_name":"No business name found"}},{"npi":[1235871179,1891364923,1689782401,1336644491],"tin":{"type":"ein","value":"461482578","business_name":"No business name found"}},{"npi":[1093718876],"tin":{"type":"ein","value":"262586368","business_name":"No business name found"}},{"npi":[1447260385,1952568834],"tin":{"type":"ein","value":"842883199","business_name":"No business name found"}},{"npi":[1871029199,1386700854,1538510813,1699881557,1043212350,1326616335,1508248782,1801658604,1932744620],"tin":{"type":"ein","value":"060884857","business_name":"No business name found"}},{"npi":[1023213873,1578295762,1467658567,1215937396,1326048430,1356341432,1518967025,1124137492,1861492977],"tin":{"type":"ein","value":"113211425","business_name":"No business name found"}},{"npi":[1669578175,1447341227,1083853550,1134229909,1669000170,1306922158,1538267356],"tin":{"type":"ein","value":"061323350","business_name":"No business name found"}},{"npi":[1043738768,1326199670,1053593079,1386022259,1235267816,1306932215,1689704595,1548610959,1598105884,1447604293,1104920065,1851786677,1497702963,1902871304,1730120395,1629303557,1417248253,1306577663,1447248760,1760034086,1902350382,1124256839,1053833475,1396711222],"tin":{"type":"ein","value":"060772160","business_name":"No business name found"}},{"npi":[1790276780],"tin":{"type":"ein","value":"112566918","business_name":"No business name found"}},{"npi":[1750372272],"tin":{"type":"ein","value":"061463527","business_name":"No business name found"}},{"npi":[1306941067,1720279946,1487845541],"tin":{"type":"ein","value":"060990617","business_name":"No business name found"}},{"npi":[1710027040,1487792065],"tin":{"type":"ein","value":"271765400","business_name":"No business name found"}},{"npi":[1902029119,1073587820,1699749135,1669445250,1780657510,1316032535,1982678421],"tin":{"type":"ein","value":"061152153","business_name":"No business name found"}},{"npi":[1154368454,1376193896,1023019403,1063466621,1326751348,1952539132,1124798855,1811960503,1922391150,1366970386,1699187575,1184180663,1982685475,1437729332,1518678945,1184622714,1720044134],"tin":{"type":"ein","value":"812847155","business_name":"No business name found"}},{"npi":[1710982327],"tin":{"type":"ein","value":"061026029","business_name":"No business name found"}},{"npi":[1154514099,1922078948,1093973703,1912977935],"tin":{"type":"ein","value":"060762819","business_name":"No business name found"}},{"npi":[1568549996,1780494781,1609892371,1578140554,1295852440,1982629655,1952327629,1528275773,1700375235,1578968095,1881290948],"tin":{"type":"ein","value":"061033775","business_name":"No business name found"}},{"npi":[1922139377,1508949603,1659799401],"tin":{"type":"ein","value":"134033635","business_name":"No business name found"}},{"npi":[1457663239,1578604666],"tin":{"type":"ein","value":"066082527","business_name":"No business name found"}},{"npi":[1285963959],"tin":{"type":"ein","value":"871735448","business_name":"No business name found"}},{"npi":[1801817325,1194756650,1700558608,1891923199,1346328044,1275876286,1972933406,1801093356,1407492523,1316571458,1366723041,1174705636,1073596714,1427022672],"tin":{"type":"ein","value":"822029242","business_name":"No business name found"}},{"npi":[1053477703],"tin":{"type":"ein","value":"203155667","business_name":"No business name found"}},{"npi":[1265846927],"tin":{"type":"ein","value":"460806988","business_name":"No business name found"}},{"npi":[1346259322,1477882645,1356624027],"tin":{"type":"ein","value":"813837551","business_name":"No business name found"}},{"npi":[1922606086,1578160701,1285733014],"tin":{"type":"ein","value":"462712148","business_name":"No business name found"}},{"npi":[1891942926,1669430666,1588627988,1114962024],"tin":{"type":"ein","value":"133981960","business_name":"No business name found"}},{"npi":[1285969857],"tin":{"type":"ein","value":"815206074","business_name":"No business name found"}},{"npi":[1922158666,1659791549,1467783712,1467466995,1053057190],"tin":{"type":"ein","value":"850570312","business_name":"No business name found"}},{"npi":[1700076981,1245483122,1659526085,1245561422,1164958260,1639260045,1477520039,1477644318,1417110172,1184657660,1770848558,1144491705,1598187098,1609223429,1982622742,1285254102,1528013679,1699790725,1124107321,1972985448,1598101214,1073551966,1609018027,1336534510],"tin":{"type":"ein","value":"471235609","business_name":"No business name found"}},{"npi":[1992132237],"tin":{"type":"ein","value":"883723589","business_name":"No business name found"}},{"npi":[1508038217],"tin":{"type":"ein","value":"432040799","business_name":"No business name found"}},{"npi":[1669428546,1376626580,1073589107,1780652982],"tin":{"type":"ein","value":"061120254","business_name":"No business name found"}},{"npi":[1255911558,1356731244,1801975537],"tin":{"type":"ein","value":"814687278","business_name":"No business name found"}},{"npi":[1477810885,1639506967,1346272937,1750689352,1043454044,1548833478,1225532732],"tin":{"type":"ein","value":"472590836","business_name":"No business name found"}},{"npi":[1558330613,1598261695,1265099139,1063030013,1508478207,1831540327],"tin":{"type":"ein","value":"815158915","business_name":"No business name found"}},{"npi":[1952657298,1538158753,1497717706,1396295051,1518918424,1457616880,1982727574,1366603573,1518122993],"tin":{"type":"ein","value":"851184915","business_name":"No business name found"}},{"npi":[1851752794,1902034531,1558712992,1528235447,1881745826,1669767539,1053380618,1215198692,1164573283,1023218914],"tin":{"type":"ein","value":"473773873","business_name":"No business name found"}},{"npi":[1306045596,1023006988,1487039525,1518253418,1629334784],"tin":{"type":"ein","value":"060883540","business_name":"No business name found"}},{"npi":[1922193762,1821075904,1790120913],"tin":{"type":"ein","value":"833149372","business_name":"No business name found"}},{"npi":[1033857834,1023070695,1427686617,1730146614,1063469518,1265581995,1467670927],"tin":{"type":"ein","value":"050503868","business_name":"No business name found"}},{"npi":[1154581577,1740298405],"tin":{"type":"ein","value":"061532006","business_name":"No business name found"}},{"npi":[1720011547,1164810826,1578595237,1104858877,1164429619],"tin":{"type":"ein","value":"061498176","business_name":"No business name found"}},{"npi":[1396775748],"tin":{"type":"ein","value":"464559693","business_name":"No business name found"}},{"npi":[1891728853,1073791877],"tin":{"type":"ein","value":"464284753","business_name":"No business name found"}},{"npi":[1285833186,1679768501],"tin":{"type":"ein","value":"841328305","business_name":"No business name found"}},{"npi":[1629378443,1447272661,1912474024,1669015186,1003001587],"tin":{"type":"ein","value":"821221232","business_name":"No business name found"}},{"npi":[1639101595],"tin":{"type":"ein","value":"432916245","business_name":"No business name found"}},{"npi":[1134189194,1275595787],"tin":{"type":"ein","value":"200740539","business_name":"No business name found"}},{"npi":[1659525566,1285971838,1336628718,1427791334,1255992780,1013492305,1770054595,1154317147,1659856953,1770058208,1053598540,1669015186],"tin":{"type":"ein","value":"851358418","business_name":"No business name found"}},{"npi":[1003850975],"tin":{"type":"ein","value":"844903826","business_name":"No business name found"}},{"npi":[1881207595,1134719693,1720620065],"tin":{"type":"ein","value":"861292262","business_name":"No business name found"}},{"npi":[1871563098,1346278066,1679021273],"tin":{"type":"ein","value":"921465904","business_name":"No business name found"}},{"npi":[1548242266,1871561076,1669532933],"tin":{"type":"ein","value":"132663854","business_name":"No business name found"}},{"npi":[1801932942,1447276191,1326184060,1316083058,1275706160],"tin":{"type":"ein","value":"200780803","business_name":"No business name found"}},{"npi":[1508952219],"tin":{"type":"ein","value":"264709927","business_name":"No business name found"}},{"npi":[1821232034,1952496440,1689117152,1326016726],"tin":{"type":"ein","value":"352529744","business_name":"No business name found"}},{"npi":[1437132826,1962484394,1891993325,1396728796,1265750749,1265414692],"tin":{"type":"ein","value":"453059276","business_name":"No business name found"}},{"npi":[1548286818,1215013941,1821291675,1255344198,1437175486],"tin":{"type":"ein","value":"815249959","business_name":"No business name found"}},{"npi":[1538264767,1982866141],"tin":{"type":"ein","value":"061406554","business_name":"No business name found"}},{"npi":[1487785838,1790785640],"tin":{"type":"ein","value":"874720805","business_name":"No business name found"}},{"npi":[1760593347],"tin":{"type":"ein","value":"824890700","business_name":"No business name found"}},{"npi":[1164498861],"tin":{"type":"ein","value":"060880791","business_name":"No business name found"}},{"npi":[1457316994],"tin":{"type":"ein","value":"061267901","business_name":"No business name found"}},{"npi":[1467559856,1376233775,1730316068,1568127835,1790881803,1467659557,1841396959],"tin":{"type":"ein","value":"061008486","business_name":"No business name found"}},{"npi":[1346246543,1164447215],"tin":{"type":"ein","value":"471130019","business_name":"No business name found"}},{"npi":[1164483947],"tin":{"type":"ein","value":"812104760","business_name":"No business name found"}},{"npi":[1437433489],"tin":{"type":"ein","value":"841843587","business_name":"No business name found"}},{"npi":[1871009886,1134969660,1619977402,1205276474],"tin":{"type":"ein","value":"920261995","business_name":"No business name found"}},{"npi":[1639270044],"tin":{"type":"ein","value":"731674761","business_name":"No business name found"}},{"npi":[1801243217,1841919768],"tin":{"type":"ein","value":"812826560","business_name":"No business name found"}},{"npi":[1801008099],"tin":{"type":"ein","value":"822431066","business_name":"No business name found"}},{"npi":[1114247889,1811941032,1750589495],"tin":{"type":"ein","value":"043236175","business_name":"No business name found"}},{"npi":[1578161170,1356340319,1073971735,1124019377],"tin":{"type":"ein","value":"822509895","business_name":"No business name found"}},{"npi":[1265939540],"tin":{"type":"ein","value":"934374566","business_name":"No business name found"}},{"npi":[1992221006],"tin":{"type":"ein","value":"920261146","business_name":"No business name found"}},{"npi":[1194749291,1982602405,1679928832,1962507707],"tin":{"type":"ein","value":"272373546","business_name":"No business name found"}},{"npi":[1356336218,1467783712],"tin":{"type":"ein","value":"061390153","business_name":"No business name found"}},{"npi":[1295706497,1053382283],"tin":{"type":"ein","value":"133857071","business_name":"No business name found"}},{"npi":[1346343639],"tin":{"type":"ein","value":"262849798","business_name":"No business name found"}},{"npi":[1093949547],"tin":{"type":"ein","value":"460720087","business_name":"No business name found"}},{"npi":[1487276465,1053970939,1295904225,1902475874,1902185812,1245527993,1447847348,1700519352],"tin":{"type":"ein","value":"472009533","business_name":"No business name found"}},{"npi":[1528345394],"tin":{"type":"ein","value":"464610087","business_name":"No business name found"}},{"npi":[1851468987,1346223567,1730321761,1770877953],"tin":{"type":"ein","value":"853572157","business_name":"No business name found"}},{"npi":[1619995677],"tin":{"type":"ein","value":"812559447","business_name":"No business name found"}},{"npi":[1821550757,1245658681,1396163309],"tin":{"type":"ein","value":"844569434","business_name":"No business name found"}},{"npi":[1184604514,1417940271,1538575154,1215019435,1336155118,1871599092,1912124454,1538144522,1639154628,1518944800,1356324453],"tin":{"type":"ein","value":"060646599","business_name":"No business name found"}},{"npi":[1588699474],"tin":{"type":"ein","value":"881053538","business_name":"No business name found"}},{"npi":[1245386374],"tin":{"type":"ein","value":"061276526","business_name":"No business name found"}},{"npi":[1366891475],"tin":{"type":"ein","value":"812004513","business_name":"No business name found"}},{"npi":[1174521397,1255394037],"tin":{"type":"ein","value":"061296304","business_name":"No business name found"}},{"npi":[1750333274],"tin":{"type":"ein","value":"133350487","business_name":"No business name found"}},{"npi":[1295722395,1194769851],"tin":{"type":"ein","value":"134134078","business_name":"No business name found"}},{"npi":[1952420390,1144229006],"tin":{"type":"ein","value":"813441234","business_name":"No business name found"}},{"npi":[1972701373,1942601240,1437247350,1265519599],"tin":{"type":"ein","value":"061286265","business_name":"No business name found"}},{"npi":[1518046358],"tin":{"type":"ein","value":"060972910","business_name":"No business name found"}},{"npi":[1215918941],"tin":{"type":"ein","value":"273525198","business_name":"No business name found"}},{"npi":[1871556274],"tin":{"type":"ein","value":"133983130","business_name":"No business name found"}},{"npi":[1093842189],"tin":{"type":"ein","value":"133123144","business_name":"No business name found"}},{"npi":[1558359265],"tin":{"type":"ein","value":"205432570","business_name":"No business name found"}},{"npi":[1457519340],"tin":{"type":"ein","value":"834205912","business_name":"No business name found"}},{"npi":[1841482031,1730121120,1013953777],"tin":{"type":"ein","value":"852763493","business_name":"No business name found"}},{"npi":[1831276021,1073252342,1306885496,1548933211],"tin":{"type":"ein","value":"061512623","business_name":"No business name found"}},{"npi":[1740717065,1336469592,1902429459,1467049338,1033402862,1699882589,1548899909,1407234685,1922203009,1265099139,1467590703,1700632791],"tin":{"type":"ein","value":"272883052","business_name":"No business name found"}},{"npi":[1134661531],"tin":{"type":"ein","value":"881104970","business_name":"No business name found"}},{"npi":[1235526385,1881989069,1770937419,1689160665,1780125914,1275777591,1912297359,1538515432,1568773463],"tin":{"type":"ein","value":"824536597","business_name":"No business name found"}},{"npi":[1164473864],"tin":{"type":"ein","value":"300335730","business_name":"No business name found"}},{"npi":[1780280875,1730328634,1457988495,1730341322],"tin":{"type":"ein","value":"922243974","business_name":"No business name found"}},{"npi":[1275847949,1841298833],"tin":{"type":"ein","value":"923781205","business_name":"No business name found"}},{"npi":[1710045703],"tin":{"type":"ein","value":"331034741","business_name":"No business name found"}},{"npi":[1285963959],"tin":{"type":"ein","value":"061779020","business_name":"No business name found"}},{"npi":[1689810491],"tin":{"type":"ein","value":"472826182","business_name":"No business name found"}},{"npi":[1669486437],"tin":{"type":"ein","value":"061495902","business_name":"No business name found"}},{"npi":[1538104583,1992128128,1750663860],"tin":{"type":"ein","value":"462288898","business_name":"No business name found"}},{"npi":[1720113467],"tin":{"type":"ein","value":"061190294","business_name":"No business name found"}},{"npi":[1558508861,1952593782],"tin":{"type":"ein","value":"060646927","business_name":"No business name found"}},{"npi":[1376705756,1992702575,1063423028,1124091269,1851577399],"tin":{"type":"ein","value":"824894259","business_name":"No business name found"}},{"npi":[1306825609],"tin":{"type":"ein","value":"060866794","business_name":"No business name found"}},{"npi":[1548245517],"tin":{"type":"ein","value":"874556080","business_name":"No business name found"}},{"npi":[1548467897],"tin":{"type":"ein","value":"843035788","business_name":"No business name found"}},{"npi":[1114922069],"tin":{"type":"ein","value":"834478674","business_name":"No business name found"}},{"npi":[1245242601],"tin":{"type":"ein","value":"264606767","business_name":"No business name found"}},{"npi":[1689660771],"tin":{"type":"ein","value":"270736791","business_name":"No business name found"}},{"npi":[1417965369],"tin":{"type":"ein","value":"043546535","business_name":"No business name found"}},{"npi":[1659894772,1699124461,1922546514,1063071827,1053369264],"tin":{"type":"ein","value":"205234860","business_name":"No business name found"}},{"npi":[1447625785,1447967559,1588257299],"tin":{"type":"ein","value":"921241950","business_name":"No business name found"}},{"npi":[1366412264],"tin":{"type":"ein","value":"134305957","business_name":"No business name found"}},{"npi":[1043203995],"tin":{"type":"ein","value":"083381143","business_name":"No business name found"}},{"npi":[1982356911],"tin":{"type":"ein","value":"473445372","business_name":"No business name found"}},{"npi":[1699765727,1265439368],"tin":{"type":"ein","value":"853225346","business_name":"No business name found"}},{"npi":[1346285145],"tin":{"type":"ein","value":"331141394","business_name":"No business name found"}},{"npi":[1114067907],"tin":{"type":"ein","value":"060856622","business_name":"No business name found"}},{"npi":[1891364923,1629332820,1063511210,1295812378],"tin":{"type":"ein","value":"208858345","business_name":"No business name found"}},{"npi":[1801862602],"tin":{"type":"ein","value":"461217273","business_name":"No business name found"}},{"npi":[1639289259],"tin":{"type":"ein","value":"049608116","business_name":"No business name found"}},{"npi":[1992734545,1083685705],"tin":{"type":"ein","value":"061188221","business_name":"No business name found"}},{"npi":[1639654098,1295205797],"tin":{"type":"ein","value":"832053016","business_name":"No business name found"}},{"npi":[1346241510],"tin":{"type":"ein","value":"061005970","business_name":"No business name found"}},{"npi":[1255374112],"tin":{"type":"ein","value":"510472304","business_name":"No business name found"}},{"npi":[1497823348],"tin":{"type":"ein","value":"061528365","business_name":"No business name found"}},{"npi":[1003265620,1457321911],"tin":{"type":"ein","value":"820984042","business_name":"No business name found"}},{"npi":[1790943694],"tin":{"type":"ein","value":"201328606","business_name":"No business name found"}},{"npi":[1194829366],"tin":{"type":"npi","value":"1194829366"}},{"npi":[1376226613,1649290289],"tin":{"type":"ein","value":"814284690","business_name":"No business name found"}},{"npi":[1356329734],"tin":{"type":"ein","value":"112930788","business_name":"No business name found"}},{"npi":[1962400150],"tin":{"type":"ein","value":"932666402","business_name":"No business name found"}},{"npi":[1336141233,1588124796],"tin":{"type":"ein","value":"113693887","business_name":"No business name found"}},{"npi":[1871561076,1144411380,1740451152],"tin":{"type":"ein","value":"203175672","business_name":"No business name found"}},{"npi":[1245531771,1528834983,1750924429,1730631342,1932204948,1144937871,1699158170,1578154530,1821454158,1952666174,1487727228,1215545793,1609841147,1881312395],"tin":{"type":"ein","value":"994367915","business_name":"No business name found"}},{"npi":[1578586533,1407862998],"tin":{"type":"ein","value":"562418621","business_name":"No business name found"}},{"npi":[1578586533],"tin":{"type":"ein","value":"454983679","business_name":"No business name found"}},{"npi":[1194769851],"tin":{"type":"ein","value":"273977273","business_name":"No business name found"}},{"npi":[1932208402],"tin":{"type":"ein","value":"061614898","business_name":"No business name found"}},{"npi":[1093100869,1336188127,1477508778,1841493913,1659557643],"tin":{"type":"ein","value":"061550566","business_name":"No business name found"}},{"npi":[1598833683],"tin":{"type":"ein","value":"450582131","business_name":"No business name found"}},{"npi":[1700880580,1982608667,1417344607],"tin":{"type":"ein","value":"061444559","business_name":"No business name found"}},{"npi":[1194923128,1578877270,1437462991,1003055021,1467646166,1205085719],"tin":{"type":"ein","value":"921129898","business_name":"No business name found"}},{"npi":[1760862445],"tin":{"type":"ein","value":"841966814","business_name":"No business name found"}},{"npi":[1720043920],"tin":{"type":"ein","value":"133925128","business_name":"No business name found"}},{"npi":[1194977603],"tin":{"type":"ein","value":"815327605","business_name":"No business name found"}},{"npi":[1972520914],"tin":{"type":"ein","value":"204810866","business_name":"No business name found"}},{"npi":[1508031238],"tin":{"type":"ein","value":"474839428","business_name":"No business name found"}},{"npi":[1154771764],"tin":{"type":"ein","value":"871580108","business_name":"No business name found"}},{"npi":[1629431614,1932362985,1023271004],"tin":{"type":"ein","value":"465612986","business_name":"No business name found"}},{"npi":[1619925211],"tin":{"type":"ein","value":"811912301","business_name":"No business name found"}},{"npi":[1326161878],"tin":{"type":"ein","value":"203419975","business_name":"No business name found"}},{"npi":[1861550725,1629006697],"tin":{"type":"ein","value":"132996559","business_name":"No business name found"}},{"npi":[1659856953,1336628718],"tin":{"type":"ein","value":"884032588","business_name":"No business name found"}},{"npi":[1205077146,1811980790],"tin":{"type":"ein","value":"863301815","business_name":"No business name found"}},{"npi":[1386071710,1003857616,1750400396,1053293142,1083693022],"tin":{"type":"ein","value":"272210659","business_name":"No business name found"}},{"npi":[1730125618],"tin":{"type":"ein","value":"205063249","business_name":"No business name found"}},{"npi":[1841288388,1437592946],"tin":{"type":"ein","value":"200278746","business_name":"No business name found"}},{"npi":[1205859865,1487187423],"tin":{"type":"ein","value":"134078914","business_name":"No business name found"}},{"npi":[1023246832,1134123797],"tin":{"type":"ein","value":"061492436","business_name":"No business name found"}},{"npi":[1376014902],"tin":{"type":"ein","value":"824953603","business_name":"No business name found"}},{"npi":[1275549552,1255443370],"tin":{"type":"ein","value":"263680467","business_name":"No business name found"}},{"npi":[1235273137],"tin":{"type":"ein","value":"112882963","business_name":"No business name found"}},{"npi":[1710951108],"tin":{"type":"ein","value":"132940242","business_name":"No business name found"}},{"npi":[1861463564],"tin":{"type":"ein","value":"273670430","business_name":"No business name found"}},{"npi":[1033192836],"tin":{"type":"ein","value":"263663076","business_name":"No business name found"}},{"npi":[1881864759],"tin":{"type":"ein","value":"862607454","business_name":"No business name found"}},{"npi":[1245307487],"tin":{"type":"ein","value":"061304200","business_name":"No business name found"}},{"npi":[1144250630],"tin":{"type":"ein","value":"882950390","business_name":"No business name found"}},{"npi":[1053756783],"tin":{"type":"ein","value":"113255508","business_name":"No business name found"}},{"npi":[1780465542,1073744819],"tin":{"type":"ein","value":"651166987","business_name":"No business name found"}},{"npi":[1922067925,1861463564],"tin":{"type":"ein","value":"061516135","business_name":"No business name found"}},{"npi":[1679877583,1972796118],"tin":{"type":"ein","value":"260815113","business_name":"No business name found"}},{"npi":[1093262834],"tin":{"type":"ein","value":"852046745","business_name":"No business name found"}},{"npi":[1003055021,1194923128,1942913629],"tin":{"type":"ein","value":"882283873","business_name":"No business name found"}},{"npi":[1952356875,1326712266],"tin":{"type":"ein","value":"461156906","business_name":"No business name found"}},{"npi":[1215019435],"tin":{"type":"ein","value":"049781753","business_name":"No business name found"}},{"npi":[1760647176,1801199203],"tin":{"type":"ein","value":"472804790","business_name":"No business name found"}},{"npi":[1114924172],"tin":{"type":"ein","value":"471469735","business_name":"No business name found"}},{"npi":[1770556177],"tin":{"type":"ein","value":"116827819","business_name":"No business name found"}},{"npi":[1740206192],"tin":{"type":"ein","value":"061592228","business_name":"No business name found"}},{"npi":[1215928619],"tin":{"type":"ein","value":"352208502","business_name":"No business name found"}},{"npi":[1033439039],"tin":{"type":"ein","value":"800602284","business_name":"No business name found"}},{"npi":[1417389735],"tin":{"type":"ein","value":"834323355","business_name":"No business name found"}},{"npi":[1629172788],"tin":{"type":"ein","value":"459908982","business_name":"No business name found"}},{"npi":[1780895433,1023012424],"tin":{"type":"ein","value":"043248481","business_name":"No business name found"}},{"npi":[1750401071,1881009090,1407989569],"tin":{"type":"ein","value":"800649418","business_name":"No business name found"}},{"npi":[1255403473],"tin":{"type":"ein","value":"060961756","business_name":"No business name found"}},{"npi":[1922139377,1659799401],"tin":{"type":"ein","value":"134085639","business_name":"No business name found"}},{"npi":[1912981507],"tin":{"type":"ein","value":"120466439","business_name":"No business name found"}},{"npi":[1932202074],"tin":{"type":"ein","value":"133296356","business_name":"No business name found"}},{"npi":[1306145057],"tin":{"type":"ein","value":"263739469","business_name":"No business name found"}},{"npi":[1508879685],"tin":{"type":"ein","value":"475338862","business_name":"No business name found"}},{"npi":[1043339799,1043235567],"tin":{"type":"ein","value":"061419565","business_name":"No business name found"}},{"npi":[1336185594],"tin":{"type":"ein","value":"454323864","business_name":"No business name found"}},{"npi":[1679936066],"tin":{"type":"ein","value":"061491182","business_name":"No business name found"}},{"npi":[1578981791],"tin":{"type":"ein","value":"074641369","business_name":"No business name found"}},{"npi":[1962400150,1598065245],"tin":{"type":"ein","value":"843350335","business_name":"No business name found"}},{"npi":[1023124260],"tin":{"type":"ein","value":"460842563","business_name":"No business name found"}},{"npi":[1306605118,1518500768,1376940635],"tin":{"type":"ein","value":"030436048","business_name":"No business name found"}},{"npi":[1386751923],"tin":{"type":"ein","value":"813306652","business_name":"No business name found"}},{"npi":[1013007194],"tin":{"type":"ein","value":"075628307","business_name":"No business name found"}},{"npi":[1356382212],"tin":{"type":"ein","value":"061047522","business_name":"No business name found"}},{"npi":[1568411353,1811962624,1720411010],"tin":{"type":"ein","value":"113291843","business_name":"No business name found"}},{"npi":[1528023181],"tin":{"type":"ein","value":"061364353","business_name":"No business name found"}},{"npi":[1467783712],"tin":{"type":"ein","value":"821222610","business_name":"No business name found"}},{"npi":[1588084362,1598758948],"tin":{"type":"ein","value":"822781939","business_name":"No business name found"}},{"npi":[1467783712,1245205871],"tin":{"type":"ein","value":"061553760","business_name":"No business name found"}},{"npi":[1295819985],"tin":{"type":"ein","value":"061405536","business_name":"No business name found"}},{"npi":[1720010994],"tin":{"type":"ein","value":"204504924","business_name":"No business name found"}},{"npi":[1215022827],"tin":{"type":"ein","value":"824007918","business_name":"No business name found"}},{"npi":[1174549547],"tin":{"type":"ein","value":"134090790","business_name":"No business name found"}},{"npi":[1740661628,1073065397,1356460737],"tin":{"type":"ein","value":"830719122","business_name":"No business name found"}},{"npi":[1740285097,1639158769],"tin":{"type":"ein","value":"863834582","business_name":"No business name found"}},{"npi":[1205345238],"tin":{"type":"ein","value":"994763949","business_name":"No business name found"}},{"npi":[1588611685],"tin":{"type":"ein","value":"452623089","business_name":"No business name found"}},{"npi":[1194727172,1578562526],"tin":{"type":"ein","value":"933725116","business_name":"No business name found"}},{"npi":[1760451090,1760543664],"tin":{"type":"ein","value":"061180042","business_name":"No business name found"}},{"npi":[1457930158,1669972444],"tin":{"type":"ein","value":"934368801","business_name":"No business name found"}},{"npi":[1174568299],"tin":{"type":"ein","value":"133132570","business_name":"No business name found"}},{"npi":[1487607842,1710933460],"tin":{"type":"ein","value":"061475631","business_name":"No business name found"}},{"npi":[1447209895],"tin":{"type":"ein","value":"262183687","business_name":"No business name found"}},{"npi":[1386700854],"tin":{"type":"ein","value":"264037840","business_name":"No business name found"}},{"npi":[1699752287],"tin":{"type":"ein","value":"870768534","business_name":"No business name found"}},{"npi":[1861578692,1871678607],"tin":{"type":"ein","value":"134128231","business_name":"No business name found"}},{"npi":[1144268749],"tin":{"type":"ein","value":"222762431","business_name":"No business name found"}},{"npi":[1699145789],"tin":{"type":"ein","value":"934711214","business_name":"No business name found"}},{"npi":[1912981507],"tin":{"type":"ein","value":"522356147","business_name":"No business name found"}},{"npi":[1073742243,1457379331],"tin":{"type":"ein","value":"460734781","business_name":"No business name found"}},{"npi":[1407984669],"tin":{"type":"ein","value":"862278589","business_name":"No business name found"}},{"npi":[1265750749,1437132826,1891993325,1962484394],"tin":{"type":"ein","value":"453062079","business_name":"No business name found"}},{"npi":[1972846509],"tin":{"type":"ein","value":"853328498","business_name":"No business name found"}},{"npi":[1548243066],"tin":{"type":"ein","value":"882328380","business_name":"No business name found"}},{"npi":[1801086939],"tin":{"type":"ein","value":"472117288","business_name":"No business name found"}},{"npi":[1598124232],"tin":{"type":"ein","value":"932581199","business_name":"No business name found"}},{"npi":[1114924172,1295244135],"tin":{"type":"ein","value":"931712183","business_name":"No business name found"}},{"npi":[1316044845],"tin":{"type":"ein","value":"811519949","business_name":"No business name found"}},{"npi":[1508887290],"tin":{"type":"ein","value":"061062106","business_name":"No business name found"}},{"npi":[1407859804],"tin":{"type":"ein","value":"061139442","business_name":"No business name found"}},{"npi":[1578729604],"tin":{"type":"ein","value":"463611049","business_name":"No business name found"}},{"npi":[1861496481,1831193457],"tin":{"type":"ein","value":"133583755","business_name":"No business name found"}},{"npi":[1205345238],"tin":{"type":"ein","value":"844016723","business_name":"No business name found"}},{"npi":[1922368810],"tin":{"type":"ein","value":"061615623","business_name":"No business name found"}},{"npi":[1508898800,1730768185,1467709097,1518199769,1770054595],"tin":{"type":"ein","value":"824687669","business_name":"No business name found"}},{"npi":[1285190843],"tin":{"type":"ein","value":"880664901","business_name":"No business name found"}},{"npi":[1972152338],"tin":{"type":"ein","value":"821478270","business_name":"No business name found"}},{"npi":[1053711879],"tin":{"type":"ein","value":"811743400","business_name":"No business name found"}},{"npi":[1093810590,1437318649,1235102773],"tin":{"type":"ein","value":"060863598","business_name":"No business name found"}},{"npi":[1427532993],"tin":{"type":"ein","value":"932060418","business_name":"No business name found"}},{"npi":[1275706160,1801932942,1447276191,1326184060,1316083058],"tin":{"type":"ein","value":"272251892","business_name":"No business name found"}},{"npi":[1467706010],"tin":{"type":"ein","value":"993217000","business_name":"No business name found"}},{"npi":[1336128206],"tin":{"type":"ein","value":"822963685","business_name":"No business name found"}},{"npi":[1386105005,1679914071],"tin":{"type":"ein","value":"472749277","business_name":"No business name found"}},{"npi":[1841397981],"tin":{"type":"ein","value":"261621790","business_name":"No business name found"}},{"npi":[1851416739],"tin":{"type":"ein","value":"800589803","business_name":"No business name found"}},{"npi":[1659320711],"tin":{"type":"ein","value":"061571790","business_name":"No business name found"}},{"npi":[1386704682],"tin":{"type":"ein","value":"061271299","business_name":"No business name found"}},{"npi":[1851339667],"tin":{"type":"ein","value":"132814218","business_name":"No business name found"}},{"npi":[1720270119,1548280175],"tin":{"type":"ein","value":"066001870","business_name":"No business name found"}},{"npi":[1417949421,1720070733],"tin":{"type":"ein","value":"134192597","business_name":"No business name found"}},{"npi":[1598705832],"tin":{"type":"ein","value":"471454058","business_name":"No business name found"}},{"npi":[1831263029],"tin":{"type":"ein","value":"010679574","business_name":"No business name found"}},{"npi":[1306972120,1598737462],"tin":{"type":"ein","value":"863318493","business_name":"No business name found"}},{"npi":[1154331015,1821263328],"tin":{"type":"ein","value":"821857616","business_name":"No business name found"}},{"npi":[1861411647],"tin":{"type":"ein","value":"824679729","business_name":"No business name found"}},{"npi":[1215233853],"tin":{"type":"ein","value":"884014170","business_name":"No business name found"}},{"npi":[1609880905],"tin":{"type":"ein","value":"475480432","business_name":"No business name found"}},{"npi":[1235160318],"tin":{"type":"ein","value":"045407481","business_name":"No business name found"}},{"npi":[1932254240],"tin":{"type":"ein","value":"471853621","business_name":"No business name found"}},{"npi":[1568497881,1578540266],"tin":{"type":"ein","value":"113479155","business_name":"No business name found"}},{"npi":[1376275644],"tin":{"type":"ein","value":"124581884","business_name":"No business name found"}},{"npi":[1871728972,1982081832],"tin":{"type":"ein","value":"842024971","business_name":"No business name found"}},{"npi":[1194378539,1659609584],"tin":{"type":"ein","value":"932566889","business_name":"No business name found"}},{"npi":[1356076228,1700062262],"tin":{"type":"ein","value":"883734493","business_name":"No business name found"}},{"npi":[1700857786],"tin":{"type":"ein","value":"651175788","business_name":"No business name found"}},{"npi":[1255878773],"tin":{"type":"ein","value":"770598934","business_name":"No business name found"}},{"npi":[1518945401],"tin":{"type":"ein","value":"205241526","business_name":"No business name found"}},{"npi":[1538422555],"tin":{"type":"ein","value":"275261904","business_name":"No business name found"}},{"npi":[1780995050],"tin":{"type":"ein","value":"845009295","business_name":"No business name found"}},{"npi":[1174939839],"tin":{"type":"ein","value":"823483709","business_name":"No business name found"}},{"npi":[1265436802,1821184268],"tin":{"type":"ein","value":"133915251","business_name":"No business name found"}},{"npi":[1285969857,1467037853],"tin":{"type":"ein","value":"852166157","business_name":"No business name found"}},{"npi":[1790785640,1992299036],"tin":{"type":"ein","value":"222951387","business_name":"No business name found"}},{"npi":[1700859006,1710962428,1275609984,1912922527],"tin":{"type":"ein","value":"472203554","business_name":"No business name found"}},{"npi":[1518080175],"tin":{"type":"ein","value":"921417253","business_name":"No business name found"}},{"npi":[1982333845,1851119408],"tin":{"type":"ein","value":"920931311","business_name":"No business name found"}},{"npi":[1851349997],"tin":{"type":"ein","value":"264447357","business_name":"No business name found"}},{"npi":[1124187240],"tin":{"type":"ein","value":"061402461","business_name":"No business name found"}},{"npi":[1699719724],"tin":{"type":"ein","value":"991806959","business_name":"No business name found"}},{"npi":[1669580569,1194987313,1609984509,1790899789,1134237035],"tin":{"type":"ein","value":"061149351","business_name":"No business name found"}},{"npi":[1447845037],"tin":{"type":"npi","value":"1447845037"}},{"npi":[1861657819],"tin":{"type":"ein","value":"861184312","business_name":"No business name found"}},{"npi":[1831311877,1578509253],"tin":{"type":"ein","value":"273102592","business_name":"No business name found"}},{"npi":[1033119813],"tin":{"type":"ein","value":"270344797","business_name":"No business name found"}},{"npi":[1992718068],"tin":{"type":"ein","value":"200770147","business_name":"No business name found"}},{"npi":[1588827653],"tin":{"type":"ein","value":"824567381","business_name":"No business name found"}},{"npi":[1801987615,1538250337],"tin":{"type":"ein","value":"112315702","business_name":"No business name found"}},{"npi":[1194727958,1770576126],"tin":{"type":"ein","value":"881691397","business_name":"No business name found"}},{"npi":[1083702278],"tin":{"type":"ein","value":"822999384","business_name":"No business name found"}},{"npi":[1184798423],"tin":{"type":"ein","value":"743253646","business_name":"No business name found"}},{"npi":[1972516482],"tin":{"type":"ein","value":"830343454","business_name":"No business name found"}},{"npi":[1932360997],"tin":{"type":"ein","value":"571147780","business_name":"No business name found"}},{"npi":[1649224676],"tin":{"type":"ein","value":"853935582","business_name":"No business name found"}},{"npi":[1396907689],"tin":{"type":"ein","value":"134047380","business_name":"No business name found"}},{"npi":[1669800322],"tin":{"type":"ein","value":"815358959","business_name":"No business name found"}},{"npi":[1689794133],"tin":{"type":"ein","value":"060856886","business_name":"No business name found"}},{"npi":[1417933961],"tin":{"type":"ein","value":"834098368","business_name":"No business name found"}},{"npi":[1700206018],"tin":{"type":"ein","value":"852086964","business_name":"No business name found"}},{"npi":[1154690972],"tin":{"type":"ein","value":"834002370","business_name":"No business name found"}},{"npi":[1447471784],"tin":{"type":"ein","value":"060968618","business_name":"No business name found"}},{"npi":[1346207990],"tin":{"type":"ein","value":"060989194","business_name":"No business name found"}},{"npi":[1538130836],"tin":{"type":"ein","value":"510564076","business_name":"No business name found"}},{"npi":[1821232034],"tin":{"type":"ein","value":"331716610","business_name":"No business name found"}},{"npi":[1982882239],"tin":{"type":"ein","value":"061534683","business_name":"No business name found"}},{"npi":[1992994701],"tin":{"type":"ein","value":"113394042","business_name":"No business name found"}},{"npi":[1144864711,1356320410],"tin":{"type":"ein","value":"611486387","business_name":"No business name found"}},{"npi":[1568447480],"tin":{"type":"ein","value":"461532758","business_name":"No business name found"}},{"npi":[1164874186],"tin":{"type":"ein","value":"882481330","business_name":"No business name found"}},{"npi":[1457317190],"tin":{"type":"ein","value":"833005877","business_name":"No business name found"}},{"npi":[1063600211],"tin":{"type":"ein","value":"464615223","business_name":"No business name found"}},{"npi":[1801012075],"tin":{"type":"ein","value":"060989759","business_name":"No business name found"}},{"npi":[1265464945],"tin":{"type":"ein","value":"061295834","business_name":"No business name found"}},{"npi":[1821105966],"tin":{"type":"ein","value":"061122412","business_name":"No business name found"}},{"npi":[1043321540,1235561457,1255630869],"tin":{"type":"ein","value":"465078744","business_name":"No business name found"}},{"npi":[1649506445,1538257779],"tin":{"type":"ein","value":"824868553","business_name":"No business name found"}},{"npi":[1346334646],"tin":{"type":"ein","value":"030444413","business_name":"No business name found"}},{"npi":[1730103862],"tin":{"type":"ein","value":"461504824","business_name":"No business name found"}},{"npi":[1326351032],"tin":{"type":"ein","value":"834356463","business_name":"No business name found"}},{"npi":[1780942045],"tin":{"type":"ein","value":"050466704","business_name":"No business name found"}},{"npi":[1164407003],"tin":{"type":"ein","value":"851777470","business_name":"No business name found"}},{"npi":[1053407700],"tin":{"type":"ein","value":"463773594","business_name":"No business name found"}},{"npi":[1346504941],"tin":{"type":"ein","value":"861978841","business_name":"No business name found"}},{"npi":[1356679823,1346272333],"tin":{"type":"ein","value":"454417352","business_name":"No business name found"}},{"npi":[1821534215],"tin":{"type":"ein","value":"881108353","business_name":"No business name found"}},{"npi":[1114033172],"tin":{"type":"ein","value":"920842978","business_name":"No business name found"}},{"npi":[1659392363],"tin":{"type":"ein","value":"832465074","business_name":"No business name found"}},{"npi":[1619259835],"tin":{"type":"ein","value":"845165884","business_name":"No business name found"}},{"npi":[1992192827],"tin":{"type":"ein","value":"844064005","business_name":"No business name found"}},{"npi":[1396764924,1386671642],"tin":{"type":"ein","value":"061592929","business_name":"No business name found"}},{"npi":[1528008489,1750681003],"tin":{"type":"ein","value":"811217099","business_name":"No business name found"}},{"npi":[1366466328],"tin":{"type":"ein","value":"202012393","business_name":"No business name found"}},{"npi":[1194769851],"tin":{"type":"ein","value":"133275330","business_name":"No business name found"}},{"npi":[1104854983],"tin":{"type":"ein","value":"463967203","business_name":"No business name found"}},{"npi":[1912956442,1568431179,1174843213,1790742104],"tin":{"type":"ein","value":"134107408","business_name":"No business name found"}},{"npi":[1538137450],"tin":{"type":"ein","value":"061105451","business_name":"No business name found"}},{"npi":[1033402862],"tin":{"type":"ein","value":"471724369","business_name":"No business name found"}},{"npi":[1932199973],"tin":{"type":"ein","value":"830370063","business_name":"No business name found"}},{"npi":[1790992113],"tin":{"type":"ein","value":"831678386","business_name":"No business name found"}},{"npi":[1689648974,1053374009],"tin":{"type":"ein","value":"842310452","business_name":"No business name found"}},{"npi":[1568404283],"tin":{"type":"ein","value":"223679591","business_name":"No business name found"}},{"npi":[1467535120],"tin":{"type":"ein","value":"133976897","business_name":"No business name found"}},{"npi":[1346285145],"tin":{"type":"ein","value":"134125032","business_name":"No business name found"}},{"npi":[1144307414],"tin":{"type":"ein","value":"061042304","business_name":"No business name found"}},{"npi":[1053465971],"tin":{"type":"ein","value":"463897450","business_name":"No business name found"}},{"npi":[1962509653],"tin":{"type":"ein","value":"471093181","business_name":"No business name found"}},{"npi":[1124104724],"tin":{"type":"ein","value":"200131945","business_name":"No business name found"}},{"npi":[1134113988],"tin":{"type":"ein","value":"112443947","business_name":"No business name found"}},{"npi":[1083779060],"tin":{"type":"ein","value":"551854430","business_name":"No business name found"}},{"npi":[1932816162,1265974695],"tin":{"type":"ein","value":"920767014","business_name":"No business name found"}},{"npi":[1750369625],"tin":{"type":"ein","value":"822856141","business_name":"No business name found"}},{"npi":[1427626340],"tin":{"type":"ein","value":"043245140","business_name":"No business name found"}},{"npi":[1902962160,1770512402],"tin":{"type":"ein","value":"432019106","business_name":"No business name found"}},{"npi":[1700806569],"tin":{"type":"ein","value":"201383126","business_name":"No business name found"}},{"npi":[1275542482],"tin":{"type":"ein","value":"061506678","business_name":"No business name found"}},{"npi":[1316960594],"tin":{"type":"ein","value":"061513669","business_name":"No business name found"}},{"npi":[1407849912,1396730610],"tin":{"type":"ein","value":"061478443","business_name":"No business name found"}},{"npi":[1134197759],"tin":{"type":"ein","value":"061419640","business_name":"No business name found"}},{"npi":[1619991981],"tin":{"type":"ein","value":"473883328","business_name":"No business name found"}},{"npi":[1316463813],"tin":{"type":"ein","value":"364872927","business_name":"No business name found"}},{"npi":[1720089063],"tin":{"type":"ein","value":"042865301","business_name":"No business name found"}},{"npi":[1386657997],"tin":{"type":"ein","value":"133864448","business_name":"No business name found"}},{"npi":[1235789231],"tin":{"type":"ein","value":"921232542","business_name":"No business name found"}},{"npi":[1639111008],"tin":{"type":"ein","value":"061632332","business_name":"No business name found"}},{"npi":[1053483578],"tin":{"type":"ein","value":"202643458","business_name":"No business name found"}},{"npi":[1306820956],"tin":{"type":"ein","value":"043458242","business_name":"No business name found"}},{"npi":[1871594440],"tin":{"type":"ein","value":"133125679","business_name":"No business name found"}},{"npi":[1457331357],"tin":{"type":"ein","value":"510667173","business_name":"No business name found"}},{"npi":[1588683312],"tin":{"type":"ein","value":"061494009","business_name":"No business name found"}},{"npi":[1942296561],"tin":{"type":"ein","value":"043497544","business_name":"No business name found"}},{"npi":[1033108451],"tin":{"type":"ein","value":"812172731","business_name":"No business name found"}},{"npi":[1265836373],"tin":{"type":"ein","value":"830983417","business_name":"No business name found"}},{"npi":[1770566317],"tin":{"type":"ein","value":"823847057","business_name":"No business name found"}},{"npi":[1932360997],"tin":{"type":"ein","value":"200233250","business_name":"No business name found"}},{"npi":[1679066948],"tin":{"type":"ein","value":"333380417","business_name":"No business name found"}},{"npi":[1053324384,1023193281],"tin":{"type":"ein","value":"473750080","business_name":"No business name found"}},{"npi":[1811981749],"tin":{"type":"ein","value":"061364754","business_name":"No business name found"}},{"npi":[1396800868],"tin":{"type":"ein","value":"048480907","business_name":"No business name found"}},{"npi":[1750360517],"tin":{"type":"ein","value":"133688424","business_name":"No business name found"}},{"npi":[1932213030],"tin":{"type":"ein","value":"133478594","business_name":"No business name found"}},{"npi":[1790968824],"tin":{"type":"ein","value":"810773260","business_name":"No business name found"}},{"npi":[1366410938],"tin":{"type":"ein","value":"460549316","business_name":"No business name found"}},{"npi":[1528027430],"tin":{"type":"ein","value":"061606960","business_name":"No business name found"}},{"npi":[1992093603],"tin":{"type":"ein","value":"821592956","business_name":"No business name found"}},{"npi":[1780607960],"tin":{"type":"ein","value":"300853882","business_name":"No business name found"}},{"npi":[1952314478],"tin":{"type":"ein","value":"060872243","business_name":"No business name found"}},{"npi":[1639142078],"tin":{"type":"ein","value":"205223762","business_name":"No business name found"}},{"npi":[1437490620],"tin":{"type":"ein","value":"871637649","business_name":"No business name found"}},{"npi":[1346451234],"tin":{"type":"ein","value":"474077959","business_name":"No business name found"}},{"npi":[1235108374],"tin":{"type":"ein","value":"852323187","business_name":"No business name found"}},{"npi":[1376925370],"tin":{"type":"ein","value":"883928540","business_name":"No business name found"}},{"npi":[1982699799],"tin":{"type":"ein","value":"061620366","business_name":"No business name found"}},{"npi":[1659825974],"tin":{"type":"ein","value":"843426509","business_name":"No business name found"}},{"npi":[1467230185],"tin":{"type":"ein","value":"850699354","business_name":"No business name found"}},{"npi":[1720170616],"tin":{"type":"ein","value":"061357190","business_name":"No business name found"}},{"npi":[1013943448],"tin":{"type":"ein","value":"061446997","business_name":"No business name found"}},{"npi":[1689768558],"tin":{"type":"ein","value":"992061218","business_name":"No business name found"}},{"npi":[1558406967],"tin":{"type":"ein","value":"133939625","business_name":"No business name found"}},{"npi":[1437381670],"tin":{"type":"ein","value":"821941930","business_name":"No business name found"}},{"npi":[1710202650],"tin":{"type":"ein","value":"273606873","business_name":"No business name found"}},{"npi":[1386848778],"tin":{"type":"ein","value":"271664334","business_name":"No business name found"}},{"npi":[1407932544],"tin":{"type":"ein","value":"043049216","business_name":"No business name found"}},{"npi":[1770873317],"tin":{"type":"ein","value":"066640340","business_name":"No business name found"}},{"npi":[1972568061],"tin":{"type":"ein","value":"030529718","business_name":"No business name found"}},{"npi":[1578656849,1366792780],"tin":{"type":"ein","value":"202881746","business_name":"No business name found"}},{"npi":[1013979293],"tin":{"type":"ein","value":"133427539","business_name":"No business name found"}},{"npi":[1992046999],"tin":{"type":"ein","value":"844470319","business_name":"No business name found"}},{"npi":[1295154730],"tin":{"type":"ein","value":"843162941","business_name":"No business name found"}},{"npi":[1922056951],"tin":{"type":"ein","value":"061622402","business_name":"No business name found"}},{"npi":[1609807270],"tin":{"type":"ein","value":"465025034","business_name":"No business name found"}},{"npi":[1750382966,1346242120],"tin":{"type":"ein","value":"412129630","business_name":"No business name found"}},{"npi":[1487741757],"tin":{"type":"ein","value":"042863227","business_name":"No business name found"}},{"npi":[1083879522],"tin":{"type":"ein","value":"811816625","business_name":"No business name found"}},{"npi":[1760466528],"tin":{"type":"ein","value":"810737248","business_name":"No business name found"}},{"npi":[1316042104],"tin":{"type":"ein","value":"061037907","business_name":"No business name found"}},{"npi":[1982717237],"tin":{"type":"ein","value":"113593616","business_name":"No business name found"}},{"npi":[1407893373],"tin":{"type":"ein","value":"061315135","business_name":"No business name found"}},{"npi":[1902553795],"tin":{"type":"ein","value":"273205935","business_name":"No business name found"}},{"npi":[1548425952],"tin":{"type":"ein","value":"134642857","business_name":"No business name found"}},{"npi":[1598772766],"tin":{"type":"ein","value":"076322306","business_name":"No business name found"}},{"npi":[1205801321],"tin":{"type":"ein","value":"141811465","business_name":"No business name found"}},{"npi":[1538172861],"tin":{"type":"ein","value":"061300460","business_name":"No business name found"}},{"npi":[1346226834],"tin":{"type":"ein","value":"113712072","business_name":"No business name found"}},{"npi":[1134151749],"tin":{"type":"ein","value":"205153479","business_name":"No business name found"}},{"npi":[1316976525],"tin":{"type":"ein","value":"074787953","business_name":"No business name found"}},{"npi":[1811917289],"tin":{"type":"ein","value":"061486244","business_name":"No business name found"}},{"npi":[1750482394],"tin":{"type":"ein","value":"223120814","business_name":"No business name found"}},{"npi":[1013236371],"tin":{"type":"ein","value":"066984869","business_name":"No business name found"}},{"npi":[1568492213,1568856847],"tin":{"type":"ein","value":"050517985","business_name":"No business name found"}},{"npi":[1033192836],"tin":{"type":"ein","value":"107424087","business_name":"No business name found"}},{"npi":[1295906345],"tin":{"type":"ein","value":"934973140","business_name":"No business name found"}},{"npi":[1669706578],"tin":{"type":"ein","value":"473356979","business_name":"No business name found"}},{"npi":[1891727152],"tin":{"type":"ein","value":"061322591","business_name":"No business name found"}},{"npi":[1710152921],"tin":{"type":"ein","value":"060855216","business_name":"No business name found"}},{"npi":[1821183377],"tin":{"type":"ein","value":"060942054","business_name":"No business name found"}},{"npi":[1093790479],"tin":{"type":"ein","value":"134036280","business_name":"No business name found"}},{"npi":[1215115472],"tin":{"type":"ein","value":"465316226","business_name":"No business name found"}},{"npi":[1801922653,1326032285],"tin":{"type":"ein","value":"260335745","business_name":"No business name found"}},{"npi":[1578738621],"tin":{"type":"ein","value":"060874454","business_name":"No business name found"}},{"npi":[1578658886],"tin":{"type":"ein","value":"134009719","business_name":"No business name found"}},{"npi":[1518100072],"tin":{"type":"ein","value":"872705800","business_name":"No business name found"}},{"npi":[1558359935],"tin":{"type":"ein","value":"271548343","business_name":"No business name found"}},{"npi":[1225357809],"tin":{"type":"ein","value":"260448163","business_name":"No business name found"}},{"npi":[1265445050],"tin":{"type":"ein","value":"061377783","business_name":"No business name found"}},{"npi":[1326432378,1396225355],"tin":{"type":"ein","value":"474204648","business_name":"No business name found"}},{"npi":[1962029660],"tin":{"type":"ein","value":"333479938","business_name":"No business name found"}},{"npi":[1023389871],"tin":{"type":"ein","value":"844247950","business_name":"No business name found"}},{"npi":[1346275542],"tin":{"type":"ein","value":"061397972","business_name":"No business name found"}},{"npi":[1447215124],"tin":{"type":"ein","value":"133973100","business_name":"No business name found"}},{"npi":[1699212969],"tin":{"type":"ein","value":"814770359","business_name":"No business name found"}},{"npi":[1578576286],"tin":{"type":"ein","value":"043616626","business_name":"No business name found"}},{"npi":[1841700226,1194209213],"tin":{"type":"ein","value":"884000182","business_name":"No business name found"}},{"npi":[1376526350],"tin":{"type":"ein","value":"421718434","business_name":"No business name found"}},{"npi":[1144387887],"tin":{"type":"ein","value":"455384936","business_name":"No business name found"}},{"npi":[1437206943],"tin":{"type":"ein","value":"113625884","business_name":"No business name found"}},{"npi":[1467581769],"tin":{"type":"ein","value":"920644520","business_name":"No business name found"}},{"npi":[1164461273],"tin":{"type":"ein","value":"813895451","business_name":"No business name found"}},{"npi":[1720227440],"tin":{"type":"ein","value":"872686673","business_name":"No business name found"}},{"npi":[1144248923],"tin":{"type":"ein","value":"814954391","business_name":"No business name found"}},{"npi":[1326248980],"tin":{"type":"ein","value":"273737085","business_name":"No business name found"}},{"npi":[1366739138],"tin":{"type":"ein","value":"208492229","business_name":"No business name found"}},{"npi":[1881729622],"tin":{"type":"ein","value":"061002100","business_name":"No business name found"}},{"npi":[1306979257],"tin":{"type":"ein","value":"061528827","business_name":"No business name found"}},{"npi":[1356350201],"tin":{"type":"ein","value":"061443482","business_name":"No business name found"}},{"npi":[1598708687],"tin":{"type":"ein","value":"541197607","business_name":"No business name found"}},{"npi":[1962938944],"tin":{"type":"ein","value":"113530978","business_name":"No business name found"}},{"npi":[1013901602],"tin":{"type":"ein","value":"060872914","business_name":"No business name found"}},{"npi":[1285673145],"tin":{"type":"ein","value":"731628836","business_name":"No business name found"}},{"npi":[1528181088],"tin":{"type":"ein","value":"990436889","business_name":"No business name found"}},{"npi":[1023019619],"tin":{"type":"ein","value":"822475062","business_name":"No business name found"}},{"npi":[1407845332],"tin":{"type":"ein","value":"043614138","business_name":"No business name found"}},{"npi":[1649959487],"tin":{"type":"ein","value":"452505453","business_name":"No business name found"}},{"npi":[1205258605],"tin":{"type":"ein","value":"881507081","business_name":"No business name found"}},{"npi":[1215918941],"tin":{"type":"ein","value":"133856092","business_name":"No business name found"}},{"npi":[1902836976],"tin":{"type":"ein","value":"010924601","business_name":"No business name found"}},{"npi":[1760831846],"tin":{"type":"ein","value":"042888373","business_name":"No business name found"}},{"npi":[1972163319],"tin":{"type":"ein","value":"061310539","business_name":"No business name found"}},{"npi":[1053465971],"tin":{"type":"ein","value":"814935678","business_name":"No business name found"}},{"npi":[1720015746],"tin":{"type":"ein","value":"202980048","business_name":"No business name found"}},{"npi":[1932250388],"tin":{"type":"ein","value":"132980410","business_name":"No business name found"}},{"npi":[1235287079],"tin":{"type":"ein","value":"061304932","business_name":"No business name found"}},{"npi":[1508358649],"tin":{"type":"ein","value":"880876798","business_name":"No business name found"}},{"npi":[1447265228],"tin":{"type":"ein","value":"061008623","business_name":"No business name found"}},{"npi":[1245264142],"tin":{"type":"ein","value":"462290100","business_name":"No business name found"}},{"npi":[1063416683],"tin":{"type":"ein","value":"129464097","business_name":"No business name found"}},{"npi":[1760424758],"tin":{"type":"ein","value":"133067420","business_name":"No business name found"}},{"npi":[1407529738],"tin":{"type":"ein","value":"921840370","business_name":"No business name found"}},{"npi":[1528461647],"tin":{"type":"ein","value":"884128141","business_name":"No business name found"}},{"npi":[1083197180],"tin":{"type":"ein","value":"873779329","business_name":"No business name found"}},{"npi":[1346536398],"tin":{"type":"ein","value":"820900750","business_name":"No business name found"}},{"npi":[1215952015],"tin":{"type":"ein","value":"061418531","business_name":"No business name found"}},{"npi":[1720428949],"tin":{"type":"ein","value":"863930677","business_name":"No business name found"}},{"npi":[1629149562],"tin":{"type":"ein","value":"051523249","business_name":"No business name found"}},{"npi":[1962585042],"tin":{"type":"ein","value":"814965727","business_name":"No business name found"}},{"npi":[1760494538],"tin":{"type":"ein","value":"133921085","business_name":"No business name found"}},{"npi":[1760697635],"tin":{"type":"ein","value":"061606421","business_name":"No business name found"}},{"npi":[1063079440],"tin":{"type":"ein","value":"923559196","business_name":"No business name found"}},{"npi":[1225101991],"tin":{"type":"ein","value":"061322692","business_name":"No business name found"}},{"npi":[1598827107],"tin":{"type":"ein","value":"060855632","business_name":"No business name found"}},{"npi":[1639694441],"tin":{"type":"ein","value":"814538081","business_name":"No business name found"}},{"npi":[1720011943],"tin":{"type":"ein","value":"611727212","business_name":"No business name found"}},{"npi":[1518231075],"tin":{"type":"ein","value":"132998611","business_name":"No business name found"}},{"npi":[1619035243],"tin":{"type":"ein","value":"061561192","business_name":"No business name found"}},{"npi":[1801093356],"tin":{"type":"ein","value":"842763751","business_name":"No business name found"}},{"npi":[1265405088],"tin":{"type":"ein","value":"047506867","business_name":"No business name found"}},{"npi":[1609812379],"tin":{"type":"npi","value":"1609812379"}},{"npi":[1023113453],"tin":{"type":"ein","value":"208294192","business_name":"No business name found"}},{"npi":[1497817118],"tin":{"type":"ein","value":"271196103","business_name":"No business name found"}},{"npi":[1427207349],"tin":{"type":"ein","value":"830836040","business_name":"No business name found"}},{"npi":[1205937893],"tin":{"type":"ein","value":"821471357","business_name":"No business name found"}},{"npi":[1184814014],"tin":{"type":"ein","value":"331168930","business_name":"No business name found"}},{"npi":[1437254786],"tin":{"type":"ein","value":"133584452","business_name":"No business name found"}},{"npi":[1548270614],"tin":{"type":"ein","value":"874531666","business_name":"No business name found"}},{"npi":[1821099235],"tin":{"type":"ein","value":"133591299","business_name":"No business name found"}},{"npi":[1114033172],"tin":{"type":"ein","value":"823342738","business_name":"No business name found"}},{"npi":[1376546523],"tin":{"type":"ein","value":"134011131","business_name":"No business name found"}},{"npi":[1356079016],"tin":{"type":"ein","value":"463425595","business_name":"No business name found"}},{"npi":[1144452442],"tin":{"type":"ein","value":"871879908","business_name":"No business name found"}},{"npi":[1972671758],"tin":{"type":"ein","value":"043065644","business_name":"No business name found"}},{"npi":[1124680269],"tin":{"type":"ein","value":"880550901","business_name":"No business name found"}},{"npi":[1861567174],"tin":{"type":"ein","value":"352284486","business_name":"No business name found"}},{"npi":[1811968258],"tin":{"type":"ein","value":"800893188","business_name":"No business name found"}},{"npi":[1326082538],"tin":{"type":"ein","value":"223738747","business_name":"No business name found"}},{"npi":[1043378540],"tin":{"type":"ein","value":"273207928","business_name":"No business name found"}},{"npi":[1114011368],"tin":{"type":"ein","value":"133735380","business_name":"No business name found"}},{"npi":[1538188602],"tin":{"type":"ein","value":"077421846","business_name":"No business name found"}},{"npi":[1538130836],"tin":{"type":"ein","value":"332037793","business_name":"No business name found"}},{"npi":[1063571560],"tin":{"type":"ein","value":"061598353","business_name":"No business name found"}},{"npi":[1437778305],"tin":{"type":"ein","value":"922829179","business_name":"No business name found"}},{"npi":[1588699474],"tin":{"type":"ein","value":"133727084","business_name":"No business name found"}},{"npi":[1730173527],"tin":{"type":"ein","value":"920458609","business_name":"No business name found"}},{"npi":[1669528618],"tin":{"type":"ein","value":"334703296","business_name":"No business name found"}},{"npi":[1144674672],"tin":{"type":"ein","value":"852275209","business_name":"No business name found"}},{"npi":[1154346302],"tin":{"type":"ein","value":"843665561","business_name":"No business name found"}},{"npi":[1003296914],"tin":{"type":"ein","value":"333787605","business_name":"No business name found"}},{"npi":[1497785166],"tin":{"type":"ein","value":"061581003","business_name":"No business name found"}},{"npi":[1497843650],"tin":{"type":"ein","value":"042821869","business_name":"No business name found"}},{"npi":[1265963094],"tin":{"type":"ein","value":"861690339","business_name":"No business name found"}}]}
], "in_network" : [
{"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":"negotiated","negotiated_rate":4.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0138","description":"Finasteride, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":340.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":340.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":340.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 30 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1826","description":"Injection, interferon beta-1a, 30 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2312.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":236.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":236.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Sterile dilutant for epoprostenol, 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0155","description":"Sterile dilutant for epoprostenol, 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chlordiazepoxide HCl, up to 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1990","description":"Injection, chlordiazepoxide HCl, up to 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hematology and coagulation procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85999","description":"Unlisted hematology and coagulation procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":641.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":641.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":484.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":484.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":405.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":405.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":260.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":260.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90284","description":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90284","description":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":90.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":90.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, external ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69399","description":"Unlisted procedure, external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":227.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, trachea, bronchi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31899","description":"Unlisted procedure, trachea, bronchi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meperidine and promethazine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2180","description":"Injection, meperidine and promethazine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":227.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cerliponase alfa, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0567","description":"Injection, cerliponase alfa, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, colon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45399","description":"Unlisted procedure, colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":209788.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":209788.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":89.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":89.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":89.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":251.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fremanezumab-vfrm, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3031","description":"Injection, fremanezumab-vfrm, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":251.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted musculoskeletal procedure, head","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21499","description":"Unlisted musculoskeletal procedure, head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":233.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9215","description":"Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":80.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":80.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":623.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":623.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":445.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":198.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":198.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9572","description":"Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3947.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77399","description":"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol, inhalation solution, compounded product, administered through DME, unit dose, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7609","description":"Albuterol, inhalation solution, compounded product, administered through DME, unit dose, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":347.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":231.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyurea, oral, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0176","description":"Hydroxyurea, oral, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9562","description":"Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":790.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":420.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":420.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTN BTZ NOT TE TO J9041 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9051","description":"INJECTN BTZ NOT TE TO J9041 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide, oral, 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0175","description":"Flutamide, oral, 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5361.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5361.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ OMIDUBICEL-ONLV TX DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3406","description":"INJ OMIDUBICEL-ONLV TX DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":707778.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid, oral, 180 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7518","description":"Mycophenolic acid, oral, 180 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid, oral, 180 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7518","description":"Mycophenolic acid, oral, 180 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":170.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1300.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1599","description":"Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":43.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":43.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DOCETAXEL HOSPIRA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"INJ DOCETAXEL HOSPIRA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DOCETAXEL HOSPIRA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"INJ DOCETAXEL HOSPIRA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-67 citrate, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9556","description":"Gallium Ga-67 citrate, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":709.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":709.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":151.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2967.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2967.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90674","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90674","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90674","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":345.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":138.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":138.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":433.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cimetidine HCl, 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0023","description":"Injection, cimetidine HCl, 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":433.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9554","description":"Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":409.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":409.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":231.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DLNDSTRGN MOXPRVVC-ROKL Q THR D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1413","description":"INJ DLNDSTRGN MOXPRVVC-ROKL Q THR D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3264000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":93.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":93.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90386","description":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90386","description":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9356","description":"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Minoxidil, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0139","description":"Minoxidil, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":131.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":99.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90621","description":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":270.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90621","description":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":270.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted necropsy (autopsy) procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88099","description":"Unlisted necropsy (autopsy) procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":530.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"GALLIUM GOZELLIX 1 MILLICURI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9616","description":"GALLIUM GOZELLIX 1 MILLICURI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1127.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0161","description":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0599","description":"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90283","description":"Immune globulin (IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90283","description":"Immune globulin (IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2981.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2981.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":40.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":40.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Methadone, oral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0109","description":"Methadone, oral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, antithrombin recombinant, 50 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7196","description":"Injection, antithrombin recombinant, 50 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE PWDR 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0608","description":"LANTHANUM CARBONATE PWDR 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":71.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":71.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":56.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":56.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":75810.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":75810.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Centruroides immune f(ab)2, up to 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0716","description":"Injection, Centruroides immune f(ab)2, up to 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5655.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Centruroides immune f(ab)2, up to 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0716","description":"Injection, Centruroides immune f(ab)2, up to 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5655.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF BIVALENT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90678","description":"RSV VACC PREF BIVALENT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":382.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF BIVALENT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90678","description":"RSV VACC PREF BIVALENT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":382.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MYCOPHENOLA MOFETIL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"INJ MYCOPHENOLA MOFETIL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MYCOPHENOLA MOFETIL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"INJ MYCOPHENOLA MOFETIL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":240.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":240.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":417.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":417.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90649","description":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90649","description":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":139.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRABECTEDIN 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9362","description":"INJ TRABECTEDIN 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRABECTEDIN 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9362","description":"INJ TRABECTEDIN 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, brexanolone, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1632","description":"Injection, brexanolone, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, leg or ankle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27899","description":"Unlisted procedure, leg or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ APONVIE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"INJ APONVIE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ APONVIE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"INJ APONVIE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6510.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6510.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":268.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":268.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":332.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":332.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin beta, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0128","description":"Injection, follitropin beta, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, vestronidase alfa-vjbk, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3397","description":"Injection, vestronidase alfa-vjbk, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":288.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":190.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":190.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":203.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78199","description":"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":203.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2121.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2121.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0175","description":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"INJ FLUOROURACIL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"INJ FLUOROURACIL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":125.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":125.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUORESCEIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9612","description":"INJ FLUORESCEIN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":156.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oxytetracycline HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2460","description":"Injection, oxytetracycline HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30971.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30971.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted fluoroscopic procedure (eg, diagnostic, interventional)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76496","description":"Unlisted fluoroscopic procedure (eg, diagnostic, interventional)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":509.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":508.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0573","description":"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":43.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":43.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":406.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":406.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":40.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2137.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2137.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":40.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJ 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9601","description":"FLORTAUCIPIR F18 INJ 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":302.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":302.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Botulism immune globulin, human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90288","description":"Botulism immune globulin, human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Botulism immune globulin, human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90288","description":"Botulism immune globulin, human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted allergy/clinical immunologic service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95199","description":"Unlisted allergy/clinical immunologic service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":567.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sculptra, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2028","description":"Injection, sculptra, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, itraconazole, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1835","description":"Injection, itraconazole, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":662.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE ZIMHI 0.01MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2313","description":"INJECTION NALOXONE ZIMHI 0.01MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":287.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE ZIMHI 0.01MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2313","description":"INJECTION NALOXONE ZIMHI 0.01MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, maternity care and delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59898","description":"Unlisted laparoscopy procedure, maternity care and delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":48.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":48.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0119","description":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":371.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":298.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":298.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":298.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted miscellaneous procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78999","description":"Unlisted miscellaneous procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":272129.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":272129.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":749.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":749.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Chlorambucil, oral, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0172","description":"Chlorambucil, oral, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":606.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74175","description":"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":479.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CAL AVYXA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"INJ LEUCOVORIN CAL AVYXA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CAL AVYXA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"INJ LEUCOVORIN CAL AVYXA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, conivaptan hydrochloride, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9488","description":"Injection, conivaptan hydrochloride, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, vascular injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36299","description":"Unlisted procedure, vascular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90700","description":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90700","description":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, gamma 1-b, 3 million units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9216","description":"Injection, interferon, gamma 1-b, 3 million units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8965.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":217.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":217.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":217.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ATIDARSAGENE AUTOTEMCEL PER TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3391","description":"INJ ATIDARSAGENE AUTOTEMCEL PER TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4335000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":149.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":149.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":709.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":709.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":777.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":777.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":477.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, inner ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69949","description":"Unlisted procedure, inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":134.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":134.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":128.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM CHLORIDE 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0618","description":"INJECTION CALCIUM CHLORIDE 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ifosfamide, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9208","description":"Injection, ifosfamide, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ifosfamide, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9208","description":"Injection, ifosfamide, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90650","description":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90650","description":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ravulizumab-cwvz, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1303","description":"Injection, ravulizumab-cwvz, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ravulizumab-cwvz, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1303","description":"Injection, ravulizumab-cwvz, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2146.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2146.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine (ddI), 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0137","description":"Didanosine (ddI), 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":286.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":286.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":286.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":164.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":164.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":457.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1456.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":350.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":100.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":100.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":551.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ RYKINDO 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2801","description":"INJ RYKINDO 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, temporal bone, middle fossa approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69979","description":"Unlisted procedure, temporal bone, middle fossa approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90710","description":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90710","description":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":130.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":130.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":541.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":541.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, hemic or lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38999","description":"Unlisted procedure, hemic or lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ziv-aflibercept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9400","description":"Injection, ziv-aflibercept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ziv-aflibercept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9400","description":"Injection, ziv-aflibercept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":219.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":219.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":48.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":48.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVETIRAC SODI CHLO 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1958","description":"INJ LEVETIRAC SODI CHLO 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVETIRAC SODI CHLO 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1958","description":"INJ LEVETIRAC SODI CHLO 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0177","description":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":291.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":291.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN EPIOXA/HD<=2ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2789","description":"RIBOFLAVIN EPIOXA/HD<=2ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42920.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN EPIOXA/HD<=2ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2789","description":"RIBOFLAVIN EPIOXA/HD<=2ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42920.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":180.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pharynx, adenoids, or tonsils","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42999","description":"Unlisted procedure, pharynx, adenoids, or tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE 20 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0601","description":"SEVELAMER CARBONATE 20 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chloroquine HCl, up to 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0390","description":"Injection, chloroquine HCl, up to 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, teriparatide, 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3110","description":"Injection, teriparatide, 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":81.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BELANTAMAB MAFODOT BLMF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9053","description":"INJ BELANTAMAB MAFODOT BLMF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BELANTAMAB MAFODOT BLMF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9053","description":"INJ BELANTAMAB MAFODOT BLMF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nusinersen, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2326","description":"Injection, nusinersen, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1290.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, colistimethate sodium, up to 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0770","description":"Injection, colistimethate sodium, up to 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, colistimethate sodium, up to 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0770","description":"Injection, colistimethate sodium, up to 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5103.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5103.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MYCOP MOFETIL SUSP ORAL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7529","description":"MYCOP MOFETIL SUSP ORAL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MYCOP MOFETIL SUSP ORAL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7529","description":"MYCOP MOFETIL SUSP ORAL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":513.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":711.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":711.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39265.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39265.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72159","description":"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":533.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydrocortisone acetate, up to 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1700","description":"Injection, hydrocortisone acetate, up to 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, breast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19499","description":"Unlisted procedure, breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":75.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":75.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":86.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7131","description":"Hypertonic saline solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9361","description":"Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Botulinum antitoxin, equine, any route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90287","description":"Botulinum antitoxin, equine, any route","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Botulinum antitoxin, equine, any route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90287","description":"Botulinum antitoxin, equine, any route","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosphenytoin sodium, 750 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0078","description":"Injection, fosphenytoin sodium, 750 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, hands or fingers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26989","description":"Unlisted procedure, hands or fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":786.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":786.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, porfimer sodium, 75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9600","description":"Injection, porfimer sodium, 75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23789.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVAC AND MELOXIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0668","description":"INSTILL BUPIVAC AND MELOXIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90680","description":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90680","description":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ESOMEPRAZOLE SOD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"INJ ESOMEPRAZOLE SOD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9508","description":"Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":753.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin, opthalmic, 0.2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7315","description":"Mitomycin, opthalmic, 0.2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":438.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":422.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":422.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ganirelix acetate, 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0132","description":"Injection, ganirelix acetate, 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":398.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":398.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":398.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":552.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ VALOCTOCGN ROXAPRVOVC-RVOX Q ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1412","description":"INJ VALOCTOCGN ROXAPRVOVC-RVOX Q ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12079.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":105.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"PRED SOD PHO ORA DIS TA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7531","description":"PRED SOD PHO ORA DIS TA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, glatiramer acetate, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1595","description":"Injection, glatiramer acetate, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETRNCOGN DZAPRVOVC-DRLB Q THR D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1411","description":"INJ ETRNCOGN DZAPRVOVC-DRLB Q THR D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3570000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ EFBEMALENOGRASTIM ALFA-VUXW","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9361","description":"INJ EFBEMALENOGRASTIM ALFA-VUXW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ EFBEMALENOGRASTIM ALFA-VUXW","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9361","description":"INJ EFBEMALENOGRASTIM ALFA-VUXW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":105.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":349.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":349.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":51.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":51.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted craniofacial and maxillofacial procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21299","description":"Unlisted craniofacial and maxillofacial procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":271.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ NITHIODOTE 3MG/125MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0211","description":"INJ NITHIODOTE 3MG/125MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9557","description":"Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":379.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":97.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":97.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, conjunctiva","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68399","description":"Unlisted procedure, conjunctiva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"ORAL HEMADY 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"ORAL HEMADY 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"ORAL HEMADY 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"ORAL HEMADY 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4555.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4555.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":512.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":512.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":476.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin alfa, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0126","description":"Injection, follitropin alfa, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71275","description":"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":437.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical, diagnostic, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4641","description":"Radiopharmaceutical, diagnostic, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted cytopathology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88199","description":"Unlisted cytopathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 labeled autologous platelets, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9571","description":"Indium In-111 labeled autologous platelets, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, casting or strapping","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29799","description":"Unlisted procedure, casting or strapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2190.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2190.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegloticase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2507","description":"Injection, pegloticase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4151.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0202U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0202U","description":"CPT-0202U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":325.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegloticase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2507","description":"Injection, pegloticase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4151.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9542","description":"Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, abdomen, musculoskeletal system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22999","description":"Unlisted procedure, abdomen, musculoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":211.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":211.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted microbiology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87999","description":"Unlisted microbiology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9587","description":"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nandrolone decanoate, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2320","description":"Injection, nandrolone decanoate, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, enfuvirtide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1324","description":"Injection, enfuvirtide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR HIV TX 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1961","description":"INJ LENACAPAVIR HIV TX 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR HIV TX 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1961","description":"INJ LENACAPAVIR HIV TX 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2711.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2711.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0090","description":"Sildenafil citrate, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":386.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted evaluation and management service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99499","description":"Unlisted evaluation and management service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, posterior segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67299","description":"Unlisted procedure, posterior segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCH CLOR/1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2402","description":"INJ CHLOROPROCAINE HYDROCH CLOR/1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":560.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"ETHIN ESTR&ETON 0.015 0.12MG/24H VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7295","description":"ETHIN ESTR&ETON 0.015 0.12MG/24H VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":157.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"TRANEXAMIC ACID IN SOD CHLOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3291","description":"TRANEXAMIC ACID IN SOD CHLOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":96.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":573.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1178.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1178.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, long acting; 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5553","description":"Insulin, long acting; 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90738","description":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90738","description":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":512.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, anterior segment of eye","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66999","description":"Unlisted procedure, anterior segment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90633","description":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90633","description":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":374.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":374.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide, inhalation solution, compounded product, administered through DME, unit dose form, per mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7645","description":"Ipratropium bromide, inhalation solution, compounded product, administered through DME, unit dose form, per mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":223.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":223.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":245.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0575","description":"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2B, 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0148","description":"Injection, pegylated interferon alfa-2B, 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":454.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2776.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, prednisolone acetate, up to 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2650","description":"Injection, prednisolone acetate, up to 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":256.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":256.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":660.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Varicella virus vaccine (VAR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90716","description":"Varicella virus vaccine (VAR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Varicella virus vaccine (VAR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90716","description":"Varicella virus vaccine (VAR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0723T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0723T","description":"CPT-0723T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9569","description":"Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":498.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":498.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":161.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":161.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":72.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":72.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FLORBETAPR F18 DX STDY DO TO 10 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9586","description":"FLORBETAPR F18 DX STDY DO TO 10 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2914.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ EXAGAMGLOGENE AUTOTEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3392","description":"INJ EXAGAMGLOGENE AUTOTEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2412300.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":549.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefoperazone sodium, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0021","description":"Injection, cefoperazone sodium, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":549.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water (500 ml = 1 unit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7060","description":"5% dextrose/water (500 ml = 1 unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water (500 ml = 1 unit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7060","description":"5% dextrose/water (500 ml = 1 unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":215.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted dialysis procedure, inpatient or outpatient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90999","description":"Unlisted dialysis procedure, inpatient or outpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":252.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":252.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN PHOTREXA/VISCOUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2787","description":"RIBOFLAVIN PHOTREXA/VISCOUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2325.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Sodium phosphate P-32, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9563","description":"Sodium phosphate P-32, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":310.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted otorhinolaryngological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92700","description":"Unlisted otorhinolaryngological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted cardiovascular procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78499","description":"Unlisted cardiovascular procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9543","description":"Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71929.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, alfa-2a, recombinant, 3 million units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9213","description":"Injection, interferon, alfa-2a, recombinant, 3 million units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, bladder","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51999","description":"Unlisted laparoscopy procedure, bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43499","description":"Unlisted procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INST TAURO 1.35MG/HEP 100U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0911","description":"INST TAURO 1.35MG/HEP 100U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ NEOSTIGMIN/GLYCOPYRROLAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2711","description":"INJ NEOSTIGMIN/GLYCOPYRROLAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide, inhalation solution, compounded product, administered through DME, unit dose form, up to 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7627","description":"Budesonide, inhalation solution, compounded product, administered through DME, unit dose form, up to 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":88.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":88.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amobarbital, up to 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0300","description":"Injection, amobarbital, up to 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":95.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":378.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9521","description":"Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":497.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":497.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":204.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":204.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0571","description":"Buprenorphine, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9964","description":"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine, for intradermal use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90676","description":"Rabies vaccine, for intradermal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine, for intradermal use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90676","description":"Rabies vaccine, for intradermal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":195.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":195.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster immune globulin, human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90396","description":"Varicella-zoster immune globulin, human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster immune globulin, human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90396","description":"Varicella-zoster immune globulin, human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, orbit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67599","description":"Unlisted procedure, orbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":527.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":531.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1729","description":"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":592.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9250","description":"Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":80.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":221.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":221.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antitoxin, equine, any route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90296","description":"Diphtheria antitoxin, equine, any route","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antitoxin, equine, any route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90296","description":"Diphtheria antitoxin, equine, any route","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":341.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90736","description":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90736","description":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":477.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":166.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":166.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine, oral, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0104","description":"Zidovudine, oral, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":525.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Elliotts' B solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9175","description":"Injection, Elliotts' B solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":646.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":519.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47999","description":"Unlisted procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21899","description":"Unlisted procedure, neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96379","description":"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8% GEL 1 G","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8% GEL 1 G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":358.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Not otherwise classified, single vision lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2199","description":"Not otherwise classified, single vision lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0275","description":"Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, tongue, floor of mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41599","description":"Unlisted procedure, tongue, floor of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETHACRYNATE SOD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1807","description":"INJ ETHACRYNATE SOD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1702.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1702.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90698","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90698","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":409.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lacosamide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9254","description":"Injection, lacosamide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":91.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74182","description":"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":575.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2889.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2889.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9144","description":"INJECTION BUPIVACAINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, excision pressure ulcer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15999","description":"Unlisted procedure, excision pressure ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":420.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":194.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":194.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0226U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0226U","description":"CPT-0226U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":178.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":408.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":408.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43999","description":"Unlisted procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ HYDROXOCOBALAMIN IV 25MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3424","description":"INJ HYDROXOCOBALAMIN IV 25MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":38.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":427.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":427.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":21.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":21.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":539.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":210.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":210.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BENDAMUSTINE HCL 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9033","description":"INJ BENDAMUSTINE HCL 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BENDAMUSTINE HCL 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9033","description":"INJ BENDAMUSTINE HCL 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted miscellaneous pathology test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89240","description":"Unlisted miscellaneous pathology test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, piperacillin sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0081","description":"Injection, piperacillin sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29999","description":"Unlisted procedure, arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, calcium glycerophosphate and calcium lactate, per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0620","description":"Injection, calcium glycerophosphate and calcium lactate, per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":162.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":162.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":649.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1443.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCL NOS 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9245","description":"INJECTION MELPHALAN HCL NOS 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":418.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":418.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCL NOS 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9245","description":"INJECTION MELPHALAN HCL NOS 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":279.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7323","description":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":474.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7323","description":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":496.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, torsemide, 10 mg/ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3265","description":"Injection, torsemide, 10 mg/ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meropenem and vaborbactam, 10mg/10mg, (20mg)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2186","description":"Injection, meropenem and vaborbactam, 10mg/10mg, (20mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":347.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Vision item or service, miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2799","description":"Vision item or service, miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Tretinoin, topical, 5 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0117","description":"Tretinoin, topical, 5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"OBECBTGE AUTOL UP TO 400 MIL CD19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"OBECBTGE AUTOL UP TO 400 MIL CD19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304809.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"OBECBTGE AUTOL UP TO 400 MIL CD19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"OBECBTGE AUTOL UP TO 400 MIL CD19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304809.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant, Permacol, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9364","description":"Porcine implant, Permacol, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, etidronate disodium, per 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1436","description":"Injection, etidronate disodium, per 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFOTETAN DISODIUM 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0525","description":"INJ CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CHIKUNGUNYA VACCINE LIVE IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90589","description":"CHIKUNGUNYA VACCINE LIVE IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1957","description":"INJECTION LEVETIRACETAM 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFTOBIPOLE MEDOCARL 3MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"INJ CEFTOBIPOLE MEDOCARL 3MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1957","description":"INJECTION LEVETIRACETAM 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFTOBIPOLE MEDOCARL 3MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"INJ CEFTOBIPOLE MEDOCARL 3MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MIDAZOLAM IN 0.8% NACL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2252","description":"INJ MIDAZOLAM IN 0.8% NACL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, male genital system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55899","description":"Unlisted procedure, male genital system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":622.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate, nasal spray, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0012","description":"Butorphanol tartrate, nasal spray, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9559","description":"Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ SODIUM THIOSULFATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0209","description":"INJ SODIUM THIOSULFATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90647","description":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90647","description":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomography, cervical spine; without contrast material","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72125","description":"Computed tomography, cervical spine; without contrast material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, maternity care and delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59899","description":"Unlisted procedure, maternity care and delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":530.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":530.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ofloxacin, 400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0034","description":"Injection, ofloxacin, 400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SEGEST ACET ETH 0.15 0.013MG/24H VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7294","description":"SEGEST ACET ETH 0.15 0.013MG/24H VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2468.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1185.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1185.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, endocrine system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60699","description":"Unlisted procedure, endocrine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ZOPAPOGENE PER THER DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3404","description":"INJ ZOPAPOGENE PER THER DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124191.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ZOPAPOGENE PER THER DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3404","description":"INJ ZOPAPOGENE PER THER DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124191.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":66.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":66.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMB ADJT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90679","description":"RSV VACC PREF RECOMB ADJT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":385.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMB ADJT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90679","description":"RSV VACC PREF RECOMB ADJT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":385.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":588.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":86.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":86.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4589.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":287.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2062.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2062.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":396.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":396.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":636.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":636.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INTRA COPP CONTRA PARAGARD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"INTRA COPP CONTRA PARAGARD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1210.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":658.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":419.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":135.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted in vivo (eg, transcutaneous) laboratory service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88749","description":"Unlisted in vivo (eg, transcutaneous) laboratory service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron HCl, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0091","description":"Granisetron HCl, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7211","description":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Anastrozole, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0170","description":"Anastrozole, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7211","description":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":662.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":784.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":903.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":622.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":622.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1125.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1125.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":61.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":163.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":163.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, insulin, per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1815","description":"Injection, insulin, per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, insulin, per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1815","description":"Injection, insulin, per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3784.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3784.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":296.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":482.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, peramivir, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2547","description":"Injection, peramivir, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4483.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":348.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, vascular surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37799","description":"Unlisted procedure, vascular surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5098","description":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5098","description":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":284.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":284.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":310.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1068.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1068.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90723","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":132.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90723","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":132.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGZILARGINASE-NBLN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1818","description":"INJ PEGZILARGINASE-NBLN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, promethazine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2550","description":"Injection, promethazine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, promethazine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2550","description":"Injection, promethazine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":140.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":140.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25999","description":"Unlisted procedure, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FUROSCIX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1947","description":"INJ FUROSCIX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ HUMAN-LANS PER I.U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7165","description":"INJ HUMAN-LANS PER I.U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Lomustine, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0178","description":"Lomustine, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":154.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":154.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":154.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":30.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7674","description":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7674","description":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted preventive medicine service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99429","description":"Unlisted preventive medicine service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45999","description":"Unlisted procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3213.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":110.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":110.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":110.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":271.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":271.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"APRACLONIDINE HCL OPHT 0.1ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2374","description":"APRACLONIDINE HCL OPHT 0.1ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"APRACLONIDINE HCL OPHT 0.1ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2374","description":"APRACLONIDINE HCL OPHT 0.1ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24999","description":"Unlisted procedure, humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":109.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":109.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9539","description":"Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MIRENA 52 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7298","description":"MIRENA 52 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1297.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":101.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":101.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":358.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":95.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":95.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MYCOPHENOLAT MYHIBBIN 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7530","description":"MYCOPHENOLAT MYHIBBIN 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MYCOPHENOLAT MYHIBBIN 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7530","description":"MYCOPHENOLAT MYHIBBIN 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0106","description":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ INDIGOTINDISULFONATE SOD 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9220","description":"INJ INDIGOTINDISULFONATE SOD 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE PDR 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0602","description":"SEVELAMER CARBONATE PDR 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9358","description":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9358","description":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 sodium iodide, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9509","description":"Iodine I-123 sodium iodide, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1516.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ONASE ABEPAR-BRVE TREAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3405","description":"INJ ONASE ABEPAR-BRVE TREAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2832954.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ONASE ABEPAR-BRVE TREAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3405","description":"INJ ONASE ABEPAR-BRVE TREAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2832954.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dyphylline, up to 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1180","description":"Injection, dyphylline, up to 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":354.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow, BioSkin Flow, 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4162","description":"WoundEx Flow, BioSkin Flow, 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1870.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":384.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":384.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"INJ PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"INJ PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":28.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":344.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":514.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELPHALAN APOTEX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9249","description":"INJ MELPHALAN APOTEX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cangrelor, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9460","description":"Injection, cangrelor, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9517","description":"Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rolapitant, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2797","description":"Injection, rolapitant, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":131.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, diclofenac sodium, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1130","description":"Injection, diclofenac sodium, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1277.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1277.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2147.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0174","description":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1558.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":125.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":125.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":104.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (Skyla), 13.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (Skyla), 13.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1080.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":104.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":52.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2039","description":"Influenza virus vaccine, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90625","description":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":363.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90625","description":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":363.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted transfusion medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86999","description":"Unlisted transfusion medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Oral magnetic resonance contrast agent, per 100 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9954","description":"Oral magnetic resonance contrast agent, per 100 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":31.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":370.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":370.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ramucirumab, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9308","description":"Injection, ramucirumab, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ramucirumab, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9308","description":"Injection, ramucirumab, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEDMARK 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0208","description":"INJ PEDMARK 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BETIBEGLOGENE AUTOTEMCE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3393","description":"INJ BETIBEGLOGENE AUTOTEMCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2856000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":394.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":394.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":394.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":283.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":283.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":29.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9180","description":"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amitriptyline HCl, up to 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1320","description":"Injection, amitriptyline HCl, up to 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":62.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORL 3 MG IRON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0609","description":"FERRIC CITRATE ORL 3 MG IRON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9540","description":"Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":151.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":151.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0173","description":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate implant, 65 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9219","description":"Leuprolide acetate implant, 65 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4831.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":537.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":54.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":65.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FESILTY 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7176","description":"INJ FESILTY 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":234.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":234.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Strontium Sr-89 chloride, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9600","description":"Strontium Sr-89 chloride, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3825.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":73.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":73.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Factor VIII (antihemophilic factor (porcine)), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7191","description":"Factor VIII (antihemophilic factor (porcine)), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRANEXAMIC ACID 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3290","description":"INJ TRANEXAMIC ACID 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9362","description":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"INJ ETOPOSIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"INJ ETOPOSIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":760.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":297.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET 75 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1073","description":"TESTOSTERONE PELLET 75 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, minocycline HCl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2265","description":"Injection, minocycline HCl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":128.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":128.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":128.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1927.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1927.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lacrimal system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68899","description":"Unlisted procedure, lacrimal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90648","description":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90648","description":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, extraocular muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67399","description":"Unlisted procedure, extraocular muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, secretin, synthetic, human, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2850","description":"Injection, secretin, synthetic, human, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, secretin, synthetic, human, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2850","description":"Injection, secretin, synthetic, human, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":547.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted maxillofacial prosthetic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21089","description":"Unlisted maxillofacial prosthetic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with motor score from 39 -47.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1204","description":"Osteoarthritis with motor score from 39 -47.,comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":230.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ CARBOPROST 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0675","description":"INJ CARBOPROST 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":827.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":827.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, isavuconazonium, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1833","description":"Injection, isavuconazonium, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":518.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, succinylcholine chloride, up to 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0330","description":"Injection, succinylcholine chloride, up to 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4030.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sebelipase alfa, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2840","description":"Injection, sebelipase alfa, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":520.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4030.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cinacalcet, oral, 1 mg, (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0604","description":"Cinacalcet, oral, 1 mg, (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":429.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":527.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":527.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":743.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, vestibule of mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40899","description":"Unlisted procedure, vestibule of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TIVIDENO ALFA-EKNM 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1757","description":"INJ TIVIDENO ALFA-EKNM 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":635.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FUROSE LASIX ONYU 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1946","description":"INJ FUROSE LASIX ONYU 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1106.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1106.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":102.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":66.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":66.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":136.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":136.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, therapeutic radiology treatment management","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77499","description":"Unlisted procedure, therapeutic radiology treatment management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":575.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":782.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, most rapid onset (Lispro or Aspart); 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5551","description":"Insulin, most rapid onset (Lispro or Aspart); 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0040","description":"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":354.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":354.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2137.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2137.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":399.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":399.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":142.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":407.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ AMIVANTAMAB 5MG HYALURON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9062","description":"INJ AMIVANTAMAB 5MG HYALURON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ AMIVANTAMAB 5MG HYALURON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9062","description":"INJ AMIVANTAMAB 5MG HYALURON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":35.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute (Integra Meshed Bilayer Wound Matrix), per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9363","description":"Skin substitute (Integra Meshed Bilayer Wound Matrix), per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1650.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1650.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":113.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tolazoline HCl, up to 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2670","description":"Injection, tolazoline HCl, up to 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol, oral, 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0191","description":"Misoprostol, oral, 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Edetate disodium, per 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3520","description":"Edetate disodium, per 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":623.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":492.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus vaccine, type 7, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90477","description":"Adenovirus vaccine, type 7, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus vaccine, type 7, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90477","description":"Adenovirus vaccine, type 7, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":77.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":213.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":213.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":94.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":94.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90636","description":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90636","description":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":203.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":203.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, etelcalcetide, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0606","description":"Injection, etelcalcetide, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted vascular endoscopy procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37501","description":"Unlisted vascular endoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":46.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":46.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, nose","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30999","description":"Unlisted procedure, nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted neurological or neuromuscular diagnostic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95999","description":"Unlisted neurological or neuromuscular diagnostic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":171.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":171.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ POZELIMAB-BBFG 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9376","description":"INJ POZELIMAB-BBFG 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":42.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":42.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted fetal invasive procedure, including ultrasound guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59897","description":"Unlisted fetal invasive procedure, including ultrasound guidance, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90688","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90688","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90688","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":64.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":152.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":152.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, somatropin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2941","description":"Injection, somatropin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":27.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90620","description":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90620","description":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":219.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":219.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ELIVALDOGENE AUTOTEMCEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3387","description":"INJ ELIVALDOGENE AUTOTEMCEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3060000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Lidocaine 70 mg/tetracaine 70 mg, per patch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9285","description":"Lidocaine 70 mg/tetracaine 70 mg, per patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MENB-4C&MENACWY VACC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90624","description":"MENB-4C&MENACWY VACC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":318.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Choline C-11, diagnostic, per study dose up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9515","description":"Choline C-11, diagnostic, per study dose up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":289.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":289.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methylnaltrexone, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2212","description":"Injection, methylnaltrexone, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION WEZLANA SUB CU 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5137","description":"INJECTION WEZLANA SUB CU 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":470.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"INJ ADALIMUMAB 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9553","description":"Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":575.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5197.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5197.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted urinalysis procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81099","description":"Unlisted urinalysis procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (Ig), human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90281","description":"Immune globulin (Ig), human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (Ig), human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90281","description":"Immune globulin (Ig), human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSFOMYCIN DISODIUM 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"INJ FOSFOMYCIN DISODIUM 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSFOMYCIN DISODIUM 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"INJ FOSFOMYCIN DISODIUM 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"LILETTA 52 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7297","description":"LILETTA 52 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":997.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":451.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0183","description":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90380","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":714.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90380","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":714.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":32.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90384","description":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90384","description":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, endocrine system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60659","description":"Unlisted laparoscopy procedure, endocrine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ BEQVEZ PER TX DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1414","description":"INJ BEQVEZ PER TX DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3570000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Megestrol acetate, oral, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0179","description":"Megestrol acetate, oral, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":861.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":861.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":308.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":341.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":308.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":341.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1558","description":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1558","description":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Procarbazine HCl, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0182","description":"Procarbazine HCl, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":844683.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":844683.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":619.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":794.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":794.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DELAFLOXACIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"INJECTION DELAFLOXACIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DELAFLOXACIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"INJECTION DELAFLOXACIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5716.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5716.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":362.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":362.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PANTOPRAZOLE SODIUM CHL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2472","description":"INJ PANTOPRAZOLE SODIUM CHL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":67.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, neostigmine methylsulfate, up to 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2710","description":"Injection, neostigmine methylsulfate, up to 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":210.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":210.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, therapeutic radiology clinical treatment planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77299","description":"Unlisted procedure, therapeutic radiology clinical treatment planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2236.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2236.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0136","description":"Clozapine, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DAPTOMYCIN UNREFRIG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0872","description":"DAPTOMYCIN UNREFRIG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DAPTOMYCIN UNREFRIG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0872","description":"DAPTOMYCIN UNREFRIG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":21.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":21.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":593.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":593.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 10MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91319","description":"SARSCV2 VAC 10MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 10MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91319","description":"SARSCV2 VAC 10MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":89.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":89.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":358.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":500.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49999","description":"Unlisted procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":214.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":214.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":252.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2600.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2600.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":412.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2770280.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, nervous system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64999","description":"Unlisted procedure, nervous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3472","description":"Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":138.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Gefitinib, oral, 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8565","description":"Gefitinib, oral, 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nonradioactive, noncontrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9968","description":"Injection, nonradioactive, noncontrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":189.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":220.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ QIVIGY 100MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1577","description":"INJ QIVIGY 100MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ QIVIGY 100MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1577","description":"INJ QIVIGY 100MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":640.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":34.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":526.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":83.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":702.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":702.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":24.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":26.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, urinary system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53899","description":"Unlisted procedure, urinary system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, glucarpidase, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9293","description":"Injection, glucarpidase, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":463.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, anus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46999","description":"Unlisted procedure, anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":485.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringers infusion, up to 1000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7121","description":"5% dextrose in lactated ringers infusion, up to 1000 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":42.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ, TESTOSTERONE AZMIRO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"INJ, TESTOSTERONE AZMIRO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ, TESTOSTERONE AZMIRO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"INJ, TESTOSTERONE AZMIRO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":401.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":282.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":401.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted diagnostic gastroenterology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91299","description":"Unlisted diagnostic gastroenterology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":144.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":144.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1866.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1866.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":19.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1097","description":"phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":69.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":85.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":230.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, eteplirsen, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1428","description":"Injection, eteplirsen, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ PANTOPRAZOLE HIKMA 40MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2471","description":"INJ PANTOPRAZOLE HIKMA 40MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, small intestine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44799","description":"Unlisted procedure, small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TARLATAMAB-DLLE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9026","description":"INJ TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1674.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bevacizumab, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9257","description":"Injection, bevacizumab, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ TARLATAMAB-DLLE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9026","description":"INJ TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1674.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90634","description":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90634","description":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":453.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":72.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":72.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted special dermatological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96999","description":"Unlisted special dermatological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, disposable pen (including insulin); 3 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5571","description":"Insulin delivery device, disposable pen (including insulin); 3 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, female genital system (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58999","description":"Unlisted procedure, female genital system (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":301.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":301.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":56.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":67660.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":67660.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":212.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":212.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":351.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":659.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":60.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted endocrine procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78099","description":"Unlisted endocrine procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2354","description":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2354","description":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine, for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90581","description":"Anthrax vaccine, for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine, for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90581","description":"Anthrax vaccine, for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":189.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":189.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":532.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":527.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":527.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":553.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":553.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":184.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":184.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":15.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0574","description":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, lungs and pleura","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32999","description":"Unlisted procedure, lungs and pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"TOPI ADM PRAD ZAMI PER TREAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3389","description":"TOPI ADM PRAD ZAMI PER TREAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3209940.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, peginesatide, 0.1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0890","description":"Injection, peginesatide, 0.1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 labeled autologous white blood cells, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9570","description":"Indium In-111 labeled autologous white blood cells, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":349.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":497.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":497.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":497.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":143.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIDOCAINE HCL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2003","description":"INJ LIDOCAINE HCL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0093","description":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9604","description":"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16608.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":332.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":332.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":458.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3974.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3974.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90291","description":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2236.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90291","description":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2236.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":25.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":441.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0572","description":"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, eyelids","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67999","description":"Unlisted procedure, eyelids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":177.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":448.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, intermediate acting (NPH or LENTE); 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5552","description":"Insulin, intermediate acting (NPH or LENTE); 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, foot or toes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28899","description":"Unlisted procedure, foot or toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47399","description":"Unlisted procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted vaccine/toxoid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90749","description":"Unlisted vaccine/toxoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":780.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Yellow fever vaccine, live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90717","description":"Yellow fever vaccine, live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":307.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Yellow fever vaccine, live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90717","description":"Yellow fever vaccine, live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":307.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":649.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":649.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":100.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":100.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MENACWY-TT MENB-FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90623","description":"MENACWY-TT MENB-FHBP VACC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":256.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":122.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":122.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":796.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":20.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor X, (human), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7175","description":"Injection, factor X, (human), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor X, (human), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7175","description":"Injection, factor X, (human), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9359","description":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted nervous system procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78699","description":"Unlisted nervous system procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, menotropins, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0122","description":"Injection, menotropins, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":42.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":42.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ COAG FAC XA INACTV-ZHZO 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7169","description":"INJ COAG FAC XA INACTV-ZHZO 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELOXICAM AZURITY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1737","description":"INJ MELOXICAM AZURITY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELOXICAM AZURITY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1737","description":"INJ MELOXICAM AZURITY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE AVYXA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"INJ ETOPOSIDE AVYXA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE AVYXA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"INJ ETOPOSIDE AVYXA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":572.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":572.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":512.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":45.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":170.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":170.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":170.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, codeine phosphate, per 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0745","description":"Injection, codeine phosphate, per 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLICERIDINE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9101","description":"INJECTION OLICERIDINE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, promazine HCl, up to 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2950","description":"Injection, promazine HCl, up to 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":680.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":680.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted pulmonary service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94799","description":"Unlisted pulmonary service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64999.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted diagnostic radiographic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76499","description":"Unlisted diagnostic radiographic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted immune globulin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90399","description":"Unlisted immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted immune globulin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90399","description":"Unlisted immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":151.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, clinical brachytherapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77799","description":"Unlisted procedure, clinical brachytherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":151.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT-JBVF 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5155","description":"INJ AFLIBERCEPT-JBVF 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":736.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Inj Testosterone/Estradiol Cypionat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1060","description":"Inj Testosterone/Estradiol Cypionat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":421.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":95.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":95.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":991.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":121.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, larynx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31599","description":"Unlisted procedure, larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":121.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3398","description":"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3106.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9520","description":"Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":479.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0225U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0225U","description":"CPT-0225U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":325.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":540.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":77928.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0724T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0724T","description":"CPT-0724T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge for use in insulin delivery device other than pump; 300 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5566","description":"Insulin cartridge for use in insulin delivery device other than pump; 300 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":999.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CALCIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0643","description":"INJ LEUCOVORIN CALCIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CALCIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0643","description":"INJ LEUCOVORIN CALCIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, middle ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69799","description":"Unlisted procedure, middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CALCITRIOL 0.25 MICROGRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0169","description":"CALCITRIOL 0.25 MICROGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":68.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, reusable pen; 3 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5561","description":"Insulin delivery device, reusable pen; 3 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN ENDO 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"INJ DAPTOMYCIN ENDO 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN ENDO 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"INJ DAPTOMYCIN ENDO 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":333.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":333.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":74.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":105.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":105.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":11.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LOVOTIBEGLOGENE AUTOTEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3394","description":"INJ LOVOTIBEGLOGENE AUTOTEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3162000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":225.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":239.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":225.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DEPEMOKIMAB-ULAA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2361","description":"INJ DEPEMOKIMAB-ULAA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DEPEMOKIMAB-ULAA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2361","description":"INJ DEPEMOKIMAB-ULAA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":16.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":549.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":549.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":306.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0088","description":"Imatinib, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":426.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":449.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":449.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, brompheniramine maleate, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0945","description":"Injection, brompheniramine maleate, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bethanechol chloride, Myotonachol or Urecholine, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0520","description":"Injection, bethanechol chloride, Myotonachol or Urecholine, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":44.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted cardiovascular service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93799","description":"Unlisted cardiovascular service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Chromic phosphate P-32 suspension, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9564","description":"Chromic phosphate P-32 suspension, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Tacrine HCl, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0014","description":"Tacrine HCl, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":289.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":398.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"MYCOPHENOL MOFETIL ORAL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7524","description":"MYCOPHENOL MOFETIL ORAL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 0.01%, 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0157","description":"Becaplermin gel 0.01%, 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9510","description":"Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":9.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":754.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":10.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":33.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9551","description":"Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":513.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Vaccinia immune globulin, human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90393","description":"Vaccinia immune globulin, human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Vaccinia immune globulin, human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90393","description":"Vaccinia immune globulin, human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIOTHYRONINE 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0654","description":"INJ LIOTHYRONINE 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Mercaptopurine, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0108","description":"Mercaptopurine, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":208.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":208.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INTRAUT COPP CONT MIUDELLA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7299","description":"INTRAUT COPP CONT MIUDELLA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1297.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1483.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1483.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":124.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":124.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system, (Kyleena), 19.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7296","description":"Levonorgestrel-releasing intrauterine contraceptive system, (Kyleena), 19.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1297.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ ISONIAZID 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1834","description":"INJ ISONIAZID 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":477.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":147.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":147.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":287.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, perflexane lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9955","description":"Injection, perflexane lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":171.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":171.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":23.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":185.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":185.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5926.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5926.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":394.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":82.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":82.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":513.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":84.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":84.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIDOCAINE W EPINEPHRINE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2004","description":"INJ LIDOCAINE W EPINEPHRINE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":80.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":80.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":286.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 1 mcg for subcutaneous use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q3028","description":"Injection, interferon beta-1a, 1 mcg for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":18.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":70.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57763.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":57763.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9360","description":"Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":36.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive pills for birth control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4993","description":"Contraceptive pills for birth control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL AVYXA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9191","description":"INJ FLUOROURACIL AVYXA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL AVYXA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9191","description":"INJ FLUOROURACIL AVYXA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":817.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":146.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":146.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":146.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus vaccine, type 4, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90476","description":"Adenovirus vaccine, type 4, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus vaccine, type 4, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90476","description":"Adenovirus vaccine, type 4, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":235.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":235.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":76.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":76.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, accessory sinuses","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31299","description":"Unlisted procedure, accessory sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":139.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":139.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1798.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1798.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ocriplasmin, 0.125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7316","description":"Injection, ocriplasmin, 0.125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1086.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ocriplasmin, 0.125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7316","description":"Injection, ocriplasmin, 0.125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1086.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":14.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":56.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":56.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENILEUK DIFTI CXDL 1MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"INJ DENILEUK DIFTI CXDL 1MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENILEUK DIFTI CXDL 1MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"INJ DENILEUK DIFTI CXDL 1MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydroxyprogesterone caproate, (Makena), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1726","description":"Injection, hydroxyprogesterone caproate, (Makena), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0721T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0721T","description":"CPT-0721T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9504","description":"Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":425.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":50.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":536.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":536.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"NARSOPLIMAB-WUUG 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"NARSOPLIMAB-WUUG 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"NARSOPLIMAB-WUUG 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"NARSOPLIMAB-WUUG 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":536.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":536.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"I FUL FRSNS KB NO TX EQ J9395 25MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9394","description":"I FUL FRSNS KB NO TX EQ J9395 25MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rilonacept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2793","description":"Injection, rilonacept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted genitourinary procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78799","description":"Unlisted genitourinary procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"I FUL FRSNS KB NO TX EQ J9395 25MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9394","description":"I FUL FRSNS KB NO TX EQ J9395 25MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0722T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0722T","description":"CPT-0722T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Exemestane, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0156","description":"Exemestane, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":17.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, diazoxide, up to 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1730","description":"Injection, diazoxide, up to 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":147.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":228.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0224U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0224U","description":"CPT-0224U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":12.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0223U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0223U","description":"CPT-0223U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":325.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":616531.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":616531.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":664.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen citrate, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0187","description":"Tamoxifen citrate, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":895.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9582","description":"Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7815.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":424.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":78.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90713","description":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90713","description":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical therapy, unlisted procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79999","description":"Radiopharmaceutical therapy, unlisted procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":37.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":17.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":543.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":543.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ertapenem sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1335","description":"Injection, ertapenem sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ertapenem sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1335","description":"Injection, ertapenem sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8382.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":8382.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":806.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":806.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":604.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":212.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":212.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0145","description":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1135.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":96.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":96.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":22.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, rapid onset, 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5550","description":"Insulin, rapid onset, 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":645.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxercalciferol, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1270","description":"Injection, doxercalciferol, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxercalciferol, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1270","description":"Injection, doxercalciferol, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9354","description":"Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-DSSB 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5159","description":"INJ DENOSUMAB-DSSB 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":222.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":58.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":39.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90381","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":714.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90381","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":714.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":3.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":5.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":236.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":268.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2388.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2388.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":13.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":268.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":111.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mecasermin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2170","description":"Injection, mecasermin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":412.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":464.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine for inhalation, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2062","description":"Loxapine for inhalation, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":49.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":405.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":221.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, musculoskeletal system, general","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20999","description":"Unlisted procedure, musculoskeletal system, general","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 30MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91320","description":"SARSCV2 VAC 30MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 30MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91320","description":"SARSCV2 VAC 30MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, papaverine HCl, up to 60 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2440","description":"Injection, papaverine HCl, up to 60 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":0.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":138.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":197.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":138.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"INJ GANCICLOVIR EXELA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1574","description":"INJ GANCICLOVIR EXELA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":71.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":130.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":130.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":47.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure, skin, mucous membrane and subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17999","description":"Unlisted procedure, skin, mucous membrane and subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted musculoskeletal procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78399","description":"Unlisted musculoskeletal procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90707","description":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90707","description":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":472.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":472.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted ophthalmological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92499","description":"Unlisted ophthalmological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55249.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":112.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":112.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90681","description":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":179.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":179.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":41.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90681","description":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, copanlisib, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9057","description":"Injection, copanlisib, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":7.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dexamethasone 9 percent, intraocular, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1095","description":"Injection, dexamethasone 9 percent, intraocular, 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":6.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":4.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0270","description":"Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, estrone, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1435","description":"Injection, estrone, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9602","description":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":508.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, urea, up to 40 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3350","description":"Injection, urea, up to 40 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Injection, protirelin, per 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2725","description":"Injection, protirelin, per 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":302.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7168","description":"Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1106.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]},
{"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":"negotiated","negotiated_rate":1.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[766528805]}]}]}
