{"reporting_entity_name": "Emblemhealth_GHI","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":904415825,"network_name":["HMO Prime Network","HMO SelectCare Large Group Network"],"provider_groups":[{"npi":[1194912477,1922018019,1477840726,1336705672,1245231224,1417330952,1477996189,1811385461,1588896880,1851777585,1205154796,1376868406,1699846055,1730685660,1548311947,1184838328,1871511881,1891349098,1497181424,1689737728,1235176512,1366757726,1467699975,1013940204,1194783225,1821365594,1396859062,1639467855,1497798201,1023677853,1184061632,1164078853,1396811501,1811987936,1326274127,1538546452,1710349113,1215295381,1750768818,1982004305,1619326352,1104359405,1730167362,1417240896,1780778647,1104879220,1952474736,1235395401,1770014813,1588654735,1558762161,1942625421,1619927548,1295811149,1821451626,1649538968,1508034109,1336173731,1578980033,1104171198,1891923900,1770513079,1811068398,1023379195,1407038748,1023308178,1659613735,1467549550,1477597144,1265469324,1306883442,1992188601,1487182283,1669857447,1487270286,1740578509,1710994116,1639437338,1740643998,1023438694,1518261122,1407256878,1780728626,1407291180,1154764017,1013216571],"tin":{"type":"ein","value":"203512079","business_name":"No business name found"}},{"npi":[1588680185,1326467598,1700140092,1528360302,1497798201,1023471547,1992264055,1821298829,1891085742,1861910713,1760883227,1932245693,1902048457,1356650980,1801216312,1205098563,1609050657,1699974576,1194912477,1083032056,1932459245,1275833899,1588849475,1578660163,1689855280,1447712617,1639315153,1558709758,1174523526,1164689956,1487629119,1396550109,1144465873],"tin":{"type":"ein","value":"203512226","business_name":"No business name found"}},{"npi":[1821451626,1699106583,1619021995,1386791390,1508155201,1730167362,1063433498,1548311947,1801957063,1619927548,1124330196,1609165687,1265469324,1932357043,1235395401,1730546615,1194912477,1376868406,1992769632,1982865564,1366757726,1144504440,1013940204,1811224603,1023379195,1821365594,1962896092,1679711956,1306883442,1104171198,1639437338,1427685833,1407038748,1356095772,1467549550,1538546452,1295815843,1922018019,1780778647,1760883227,1235634973,1194783225,1770513079,1366457806,1407291180,1790196335,1184838328,1710114699,1699111005,1326274127,1508276379,1497798201,1275065138,1891756169,1376953588,1205154796,1003965567,1104879220,1588849475,1487036307,1912430752,1508034109,1609066901,1740578509,1982833810,1649264474,1538547997,1831332527,1316951098,1699462663,1336173731,1114389780,1104868942,1457649717,1669757837,1194588731,1730292269,1417501214,1497066187,1205971215],"tin":{"type":"ein","value":"474065557","business_name":"No business name found"}},{"npi":[1366474595,1699279877,1831138882,1295768141,1114595105,1518901024,1629238522,1992209829,1356958896,1376200980,1780944272,1457883795,1447412804,1477840973,1043447758,1912589870,1568135374,1235552316,1326501438,1487214953,1184651093,1891460457,1023438520,1194823393,1083868392,1275263915,1821308099,1275549180,1811972870,1154852580,1710414669,1376780312,1942796495,1346526183,1508034109,1003348582,1235626979,1033761135,1548719057,1366188567,1356522031,1790196335,1609282854,1558390948,1548421613,1366470692,1861958886,1720236656,1205023769,1689844839,1861064420,1710922950,1720378342,1942716048,1871744763,1023379195,1184838328,1326698572,1386672814,1013413574,1720461791,1104371632,1184116865,1033310495,1972532976,1841877800,1023471547,1346746278,1356377485,1942906896,1497303820,1194783225,1518497858,1902856362,1316434939,1083139612,1437787165,1821657990,1295146447,1093742942,1083341937,1073780748,1316443963,1477225803,1649762618,1114699261,1417489808,1205971215,1578233730,1013050202,1972160117,1184155475,1518639566,1730572983,1376194811,1689695611,1154856862,1598805483,1568728582,1801215322,1013483049,1992147763,1700271095,1104868942,1235392663,1538489315,1669664801,1790170405,1114228814,1215376421,1538232830,1053608893,1477621217,1699111005,1316951098,1548945892,1649605734,1457799785,1063189025,1922140706,1013903806,1578503512,1215663026,1356786644,1598961294,1417116401,1609325877,1649205493,1720308687,1932272044,1124330196,1891923900,1336309442,1205204435,1104130194,1821470345,1750906608,1063876639,1164153805,1194912477,1184797151,1770046997,1417179656,1457855090,1972238848,1659518959,1730167362,1124624242,1316513336,1023308178,1437460490,1770820359,1528340924,1003009630,1033160072,1508398504,1114413697,1215670724,1710145982,1497075485,1083751523,1972535896,1932662178,1760883227,1356095772,1285123497,1821416066,1104887884,1750313664,1083282933,1164562054,1780867416,1710995287,1285989038,1699263400,1649667957,1952563256,1154351419,1538197066,1003800236,1992264055],"tin":{"type":"ein","value":"263656680","business_name":"No business name found"}},{"npi":[1598787509,1477996189,1154597854,1124287958,1205949922,1982999629,1538241187,1225284599,1689721763,1255498580,1770603755,1700933850],"tin":{"type":"ein","value":"113339411","business_name":"No business name found"}},{"npi":[1609050657,1891923900,1497798201,1578660163,1639437338,1194783225,1932459245,1548421613,1679711956,1811068398,1669961579,1770609067,1285778258,1164796009,1063852556,1679062590,1588737167,1346310760,1073732103,1235422171,1427685833,1760665343,1043243926,1457649717,1669867974,1336164086,1790148401,1669710497,1275893984,1285215681,1023379195,1609349406,1538102710,1235626979,1336145986,1164310363,1922018019,1205154796,1386791390,1295983104,1669718573,1952470882,1205098563,1689412033,1124062237,1396323226,1497066187,1063722452,1154966836,1619021995,1700463502,1750890901,1497021620,1730685660,1093981433,1295187839,1508737354,1558709758,1356396238,1861256158,1801388509,1760883227,1134625353,1356115364,1790724953,1235969908,1477541779,1396550109,1144030172,1831147743,1992438543,1922758093,1194912477,1124990965,1790196335],"tin":{"type":"ein","value":"205168942","business_name":"No business name found"}},{"npi":[1891923900,1912962747,1508034109,1720461791,1013211168,1205971215,1649205493,1699111005,1952775801,1669558458,1225390420,1164796009,1548214398,1821416066,1811137870,1821470345,1457649717,1578598850,1972099646,1114002045,1225636814,1194912477,1124330196,1932459245],"tin":{"type":"ein","value":"461506884","business_name":"No business name found"}},{"npi":[1073883344,1902071871,1366882862,1356571558,1013216571,1225472624,1598922874,1649351602,1225133077,1821133844,1083771273,1114097391,1720072556,1841285335,1336164086,1427103555,1104171198,1083658785,1285778258,1881825834,1952394413,1801881081,1033447636,1710994116,1295765352],"tin":{"type":"ein","value":"455516337","business_name":"No business name found"}},{"npi":[1356095772,1447620695,1548255052,1114002045,1306883442,1972099646,1316951098,1568063543,1013199330,1295983104,1104868942,1740578509,1932459245,1245262997,1871511881,1649792482,1730292269,1396859062],"tin":{"type":"ein","value":"473176549","business_name":"No business name found"}},{"npi":[1831332527,1790196335,1740578509,1033447636,1992769632,1811224603,1639941685,1336232594,1821470345,1548311947,1730575283,1720308687,1205154796,1114214798,1508034109,1245262997,1245231224,1457366114,1699111005,1942625421,1518036953,1972099646,1992187744,1770513079,1467699975,1104868942,1710372008,1689737728,1992752331,1316951098,1518261122,1619927548,1699194613,1730687633,1902830680,1225260078,1730167362,1730572983,1013216571,1649582768,1679711956,1619996386,1427819564,1306883442,1649538968,1023471547,1376953588,1003587312,1982268140,1538851910,1811987936,1225009194,1023379195,1821451626,1891436051,1194912477,1013211168,1699708883,1104879220,1265853691,1013975234,1912057209,1013940204,1407038748,1184838328,1780778647,1063433498,1205971215,1982147245,1366757726,1932360070,1124457882],"tin":{"type":"ein","value":"271461591","business_name":"No business name found"}},{"npi":[1982865564],"tin":{"type":"ein","value":"223594884","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, cesium-131, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2643","description":"Brachytherapy source, nonstranded, cesium-131, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9567","description":"Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"TC-99M GRAPHITE CRUCIBLE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9541","description":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9541","description":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9541","description":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2950.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":151.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2950.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":151.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure(s), group (2 or more individuals)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97150","description":"Therapeutic procedure(s), group (2 or more individuals)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2914.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2914.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobutrol, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobutrol, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobutrol, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97113","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, ytterbium-169, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2637","description":"Brachytherapy source, nonstranded, ytterbium-169, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99100","description":"Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)","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":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9560","description":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9560","description":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9560","description":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, iodine-125, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2639","description":"Brachytherapy source, nonstranded, iodine-125, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9546","description":"Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":61.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":61.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9982","description":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3564.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9982","description":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3564.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dipyridamole, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1245","description":"Injection, dipyridamole, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dipyridamole, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1245","description":"Injection, dipyridamole, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dipyridamole, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1245","description":"Injection, dipyridamole, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":55.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":55.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, stranded, not otherwise specified, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2698","description":"Brachytherapy source, stranded, not otherwise specified, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-125 serum albumin, diagnostic, per 5 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9532","description":"Iodine I-125 serum albumin, diagnostic, per 5 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DX P DO TO 8.1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9983","description":"FLORBETABEN F18 DX P DO TO 8.1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1008.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, stranded, palladium-103, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2640","description":"Brachytherapy source, stranded, palladium-103, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DX P DO TO 8.1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9983","description":"FLORBETABEN F18 DX P DO TO 8.1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1008.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97750","description":"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 PSMA-11, diagnostic, (UCSF), 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9593","description":"Gallium Ga-68 PSMA-11, diagnostic, (UCSF), 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJ CARBOXYDEXTRN-CTD SPM IO Q ST D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9697","description":"INJ CARBOXYDEXTRN-CTD SPM IO Q ST D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9965","description":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9965","description":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9965","description":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1127.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1127.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1127.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1032.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1032.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1032.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; contrast baths, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97034","description":"Application of a modality to 1 or more areas; contrast baths, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":296.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":296.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9596","description":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1106.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9596","description":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1106.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9596","description":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1106.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9507","description":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4483.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9507","description":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4483.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9507","description":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4483.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9561","description":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9561","description":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted modality (specify type and time if constant attendance)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97039","description":"Unlisted modality (specify type and time if constant attendance)","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":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9548","description":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9548","description":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9548","description":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":36.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":36.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9531","description":"Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9561","description":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","description":"Psychiatric diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 30 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","description":"Psychotherapy, 30 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoxetate disodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9581","description":"Injection, gadoxetate disodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoxetate disodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9581","description":"Injection, gadoxetate disodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoxetate disodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9581","description":"Injection, gadoxetate disodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadofosveset trisodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9583","description":"Injection, gadofosveset trisodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadofosveset trisodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9583","description":"Injection, gadofosveset trisodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadofosveset trisodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9583","description":"Injection, gadofosveset trisodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":31.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":71929.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":31.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":71929.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoterate meglumine, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9575","description":"Injection, gadoterate meglumine, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoterate meglumine, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9575","description":"Injection, gadoterate meglumine, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoterate meglumine, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9575","description":"Injection, gadoterate meglumine, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9550","description":"Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":25.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9566","description":"Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":25.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","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":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97116","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4589.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4589.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9961","description":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9961","description":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9961","description":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, iron-based magnetic resonance contrast agent, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9953","description":"Injection, iron-based magnetic resonance contrast agent, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9526","description":"Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluorine-18 fluorodeoxyglucose (F-18 FDG) imaging using dual-head coincidence detection system (nondedicated PET scan)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8085","description":"Fluorine-18 fluorodeoxyglucose (F-18 FDG) imaging using dual-head coincidence detection system (nondedicated PET scan)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97760","description":"ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9577","description":"Injection, gadobenate dimeglumine (MultiHance), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9577","description":"Injection, gadobenate dimeglumine (MultiHance), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9577","description":"Injection, gadobenate dimeglumine (MultiHance), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9951","description":"Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9966","description":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9966","description":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9966","description":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2064.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97033","description":"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9537","description":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9537","description":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9537","description":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m sestamibi, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9500","description":"Technetium tc-99m sestamibi, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":138.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m sestamibi, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9500","description":"Technetium tc-99m sestamibi, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":138.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":2064.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide solution, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9529","description":"Iodine I-131 sodium iodide solution, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9502","description":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9502","description":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9502","description":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9963","description":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9963","description":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3825.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9963","description":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3825.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening/conditioning; initial 2 hours","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97545","description":"Work hardening/conditioning; initial 2 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Family psychotherapy (without the patient present), 50 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","description":"Family psychotherapy (without the patient present), 50 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"F 18 PYLARIFY TRUVU DX 1MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9613","description":"F 18 PYLARIFY TRUVU DX 1MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"F 18 PYLARIFY TRUVU DX 1MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9613","description":"F 18 PYLARIFY TRUVU DX 1MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9536","description":"Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octafluoropropane microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9956","description":"Injection, octafluoropropane microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octafluoropropane microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9956","description":"Injection, octafluoropropane microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octafluoropropane microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9956","description":"Injection, octafluoropropane microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Nonradioactive contrast imaging material, not otherwise classified, per study","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9698","description":"Nonradioactive contrast imaging material, not otherwise classified, per study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9552","description":"Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":527.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9552","description":"Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":527.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":71.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, yttrium-90, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2616","description":"Brachytherapy source, nonstranded, yttrium-90, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":71.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; whirlpool","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97022","description":"Application of a modality to 1 or more areas; whirlpool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 PSMA-11, diagnostic, (UCLA), 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9594","description":"Gallium Ga-68 PSMA-11, diagnostic, (UCLA), 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18, diagnostic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9588","description":"Fluciclovine f-18, diagnostic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18, diagnostic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9588","description":"Fluciclovine f-18, diagnostic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18, diagnostic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9588","description":"Fluciclovine f-18, diagnostic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, not otherwise specified, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2699","description":"Brachytherapy source, nonstranded, not otherwise specified, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9574","description":"INJ FERUMOXYTOL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9574","description":"INJ FERUMOXYTOL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGULICIANINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"INJ PEGULICIANINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGULICIANINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"INJ PEGULICIANINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; hot or cold packs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":88.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":88.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical, therapeutic, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9699","description":"Radiopharmaceutical, therapeutic, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9513","description":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9513","description":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9513","description":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE TX PER UCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE TX PER UCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE TX PER UCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE TX PER UCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE TX PER UCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE TX PER UCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9959","description":"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"XE129 XENON DIAGNOSTIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9610","description":"XE129 XENON DIAGNOSTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"XE129 XENON DIAGNOSTIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9610","description":"XE129 XENON DIAGNOSTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, high dose rate iridium-192, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1717","description":"Brachytherapy source, nonstranded, high dose rate iridium-192, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2634","description":"Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; traction, mechanical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9538","description":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9538","description":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":326.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9538","description":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":326.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9580","description":"Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; diathermy (eg, microwave)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97024","description":"Application of a modality to 1 or more areas; diathermy (eg, microwave)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","description":"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, perflutren lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9957","description":"Injection, perflutren lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, perflutren lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9957","description":"Injection, perflutren lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, perflutren lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9957","description":"Injection, perflutren lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; paraffin bath","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97018","description":"Application of a modality to 1 or more areas; paraffin bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide solution, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9530","description":"Iodine I-131 sodium iodide solution, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1719","description":"Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9516","description":"Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9516","description":"Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9584","description":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2776.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9584","description":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2776.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, gold-198, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1716","description":"Brachytherapy source, nonstranded, gold-198, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9584","description":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2776.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530","description":"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":65.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9528","description":"Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9558","description":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9558","description":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9962","description":"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9558","description":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","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":[904415825]}]},
{"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":"fee schedule","negotiated_rate":7815.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":7815.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90840","description":"Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":508.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":508.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9503","description":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9503","description":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9503","description":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9568","description":"Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1315.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Instillation, hexaminolevulinate HCl, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9589","description":"Instillation, hexaminolevulinate HCl, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1350.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9568","description":"Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1315.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Instillation, hexaminolevulinate HCl, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9589","description":"Instillation, hexaminolevulinate HCl, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1350.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97761","description":"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97546","description":"Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9524","description":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9524","description":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9524","description":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, palladium-103, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2641","description":"Brachytherapy source, nonstranded, palladium-103, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9547","description":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2147.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4642","description":"Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9547","description":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2147.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9547","description":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2147.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoteridol, (ProHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9576","description":"Injection, gadoteridol, (ProHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoteridol, (ProHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9576","description":"Injection, gadoteridol, (ProHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoteridol, (ProHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9576","description":"Injection, gadoteridol, (ProHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, stranded, iodine-125, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2638","description":"Brachytherapy source, stranded, iodine-125, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9597","description":"Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":137.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":137.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Supply of injectable contrast material for use in echocardiography, per study","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9700","description":"Supply of injectable contrast material for use in echocardiography, per study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy linear source, nonstranded, palladium-103, per 1 mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2636","description":"Brachytherapy linear source, nonstranded, palladium-103, per 1 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":790.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":790.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":479.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":479.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9598","description":"Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97533","description":"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283","description":"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":4.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":310.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":310.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9960","description":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9960","description":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; ultraviolet","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97028","description":"Application of a modality to 1 or more areas; ultraviolet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9960","description":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9578","description":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9578","description":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9578","description":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":379.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":379.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis; first 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90839","description":"Psychotherapy for crisis; first 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9505","description":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9505","description":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9505","description":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9609","description":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, nonstranded, high activity, palladium-103, greater than 2.2 mCi (NIST), per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2635","description":"Brachytherapy source, nonstranded, high activity, palladium-103, greater than 2.2 mCi (NIST), per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97124","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":135.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":135.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9555","description":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9555","description":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9555","description":"Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sulfur hexafluoride lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"Injection, sulfur hexafluoride lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sulfur hexafluoride lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"Injection, sulfur hexafluoride lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sulfur hexafluoride lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"Injection, sulfur hexafluoride lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9958","description":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9958","description":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9958","description":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-125, sodium iodide solution, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9527","description":"Iodine I-125, sodium iodide solution, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0083","description":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted physical medicine/rehabilitation service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97799","description":"Unlisted physical medicine/rehabilitation service or procedure","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":[904415825]}]},
{"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":"fee schedule","negotiated_rate":5100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3947.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":5100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":3947.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted therapeutic procedure (specify)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97139","description":"Unlisted therapeutic procedure (specify)","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":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLURPIRIDAZ F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"FLURPIRIDAZ F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLURPIRIDAZ F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"FLURPIRIDAZ F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"FLURPIRIDAZ F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"FLURPIRIDAZ F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":16608.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"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":"fee schedule","negotiated_rate":16608.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy (other than of a multiple-family group)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90853","description":"Group psychotherapy (other than of a multiple-family group)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9607","description":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":265.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9607","description":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":265.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9607","description":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":265.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pertechnetate, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9512","description":"Technetium Tc-99m pertechnetate, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pertechnetate, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9512","description":"Technetium Tc-99m pertechnetate, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m teboroxime, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9501","description":"Technetium Tc-99m teboroxime, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; infrared","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97026","description":"Application of a modality to 1 or more areas; infrared","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; vasopneumatic devices","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97016","description":"Application of a modality to 1 or more areas; vasopneumatic devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy, 60 minutes with patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97036","description":"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric diagnostic evaluation with medical services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","description":"Psychiatric diagnostic evaluation with medical services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy source, stranded, cesium-131, per source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2642","description":"Brachytherapy source, stranded, cesium-131, per source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]},
{"negotiation_arrangement":"ffs","name":"THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[904415825]}]}]}
