{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":184632167,"provider_groups":[{"npi":[1346619327],"tin":{"type":"ein","value":"210736750"}},{"npi":[1528437506],"tin":{"type":"ein","value":"210736750"}},{"npi":[1114323698],"tin":{"type":"ein","value":"210736750"}},{"npi":[1528437506],"tin":{"type":"ein","value":"210736750"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with motor score from 39 -47.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1204","description":"Osteoarthritis with motor score from 39 -47.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD COMPR GMT ARM PAD NT USE CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6523","description":"GD COMPR GMT ARM PAD NT USE CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PART HANDFNG ULTRALITE TCF/=","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6032","description":"PART HANDFNG ULTRALITE TCF/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BG ROLL EL LNG STR LIN Y W E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6597","description":"GD CMP BG ROLL EL LNG STR LIN Y W E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0116","description":"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, additional charge for split size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3257","description":"Orthopedic footwear, additional charge for split size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0610","description":"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STK B KNEE 18-30MM HG CUST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6610","description":"GD CMP STK B KNEE 18-30MM HG CUST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2309","description":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, gas permeable, spherical, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2510","description":"Contact lens, gas permeable, spherical, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier, wipes or swabs, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5120","description":"Skin barrier, wipes or swabs, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with motor score from 12 -25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1804","description":"Major multiple trauma with brain or spinal cord injury with motor score from 12 -25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supports brokerage, self-directed, waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2041","description":"Supports brokerage, self-directed, waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5073","description":"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace metal bands KAFO, proximal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4080","description":"Replace metal bands KAFO, proximal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2070","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0602","description":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2608","description":"Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, shoulder cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4003","description":"Cast supplies, shoulder cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens, per lens, bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2221","description":"Lenticular lens, per lens, bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, heavy-duty, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2620","description":"Addition to lower extremity, pelvic control, hip joint, heavy-duty, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5250","description":"Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8681","description":"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0303","description":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0967","description":"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4316","description":"Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vascular graft material, synthetic, implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8670","description":"Vascular graft material, synthetic, implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic lightbox, minimum 10,000 lux, table top model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0203","description":"Therapeutic lightbox, minimum 10,000 lux, table top model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO W/ANKLE JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1971","description":"AFO W/ANKLE JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4164","description":"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9497","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens, per lens, trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2321","description":"Lenticular lens, per lens, trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1000","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for amyotrophic lateral sclerosis (ALS)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3800","description":"Genetic testing for amyotrophic lateral sclerosis (ALS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4036","description":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy/jejunostomy tube, standard, any material, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4087","description":"Gastrostomy/jejunostomy tube, standard, any material, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disease management program, follow-up/reassessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0316","description":"Disease management program, follow-up/reassessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4301","description":"Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2383","description":"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder elbow wrist hand orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3961","description":"Shoulder elbow wrist hand orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPORTS BROKG SELF-DIR WAIVER; PD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2051","description":"SUPPORTS BROKG SELF-DIR WAIVER; PD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8641","description":"Metatarsal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ANK MCROP PLANT & DORSI FLEX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2221","description":"ANK MCROP PLANT & DORSI FLEX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Binaural, glasses","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5150","description":"Binaural, glasses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction equipment, overdoor, cervical","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0860","description":"Traction equipment, overdoor, cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6300","description":"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (glove), custom made, medium weight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8425","description":"Gradient pressure aid (glove), custom made, medium weight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, analog, binaural, CIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5248","description":"Hearing aid, analog, binaural, CIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe with needle for external insulin pump, sterile, 3 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe with needle for external insulin pump, sterile, 3 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5840","description":"Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0871","description":"Power wheelchair, group 4 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, folding, adjustable, without seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1238","description":"Wheelchair, pediatric size, folding, adjustable, without seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9353","description":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"STRAIGH TIP HYDROPHILIC CATH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4295","description":"STRAIGH TIP HYDROPHILIC CATH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Automatic grasp feature, addition to upper limb electric prosthetic terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6881","description":"Automatic grasp feature, addition to upper limb electric prosthetic terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity M< 47.50 .,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1004","description":"Amputation, lower extremity M< 47.50 .,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with motor score from 12 -25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1804","description":"Major multiple trauma with brain or spinal cord injury with motor score from 12 -25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOT SAGIT CNTRL RIGID A&P CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0632","description":"LUMB-SACRAL ORTHOT SAGIT CNTRL RIGID A&P CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Metal-on-metal total hip resurfacing, including acetabular and femoral components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2118","description":"Metal-on-metal total hip resurfacing, including acetabular and femoral components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NERVE STIMULATOR FOR TX N&V","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0765","description":"NERVE STIMULATOR FOR TX N&V","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive geriatric assessment and treatment planning performed by assessment team","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0250","description":"Comprehensive geriatric assessment and treatment planning performed by assessment team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Frames, purchases","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2020","description":"Frames, purchases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program, follow-up visit to MD provider","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9141","description":"Diabetic management program, follow-up visit to MD provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5620","description":"Addition to lower extremity, test socket, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive gene sequence analysis for hypertrophic cardiomyopathy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3865","description":"Comprehensive gene sequence analysis for hypertrophic cardiomyopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler, dry form, per g, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6262","description":"Wound filler, dry form, per g, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Drain bag/bottle, for dialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4911","description":"Drain bag/bottle, for dialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable analog, binaural, ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5251","description":"Hearing aid, digitally programmable analog, binaural, ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9500","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0898","description":"Power wheelchair, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Plumbing and/or electrical work for home hemodialysis equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4870","description":"Plumbing and/or electrical work for home hemodialysis equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, Teflon, or equal, cable lining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6665","description":"Upper extremity addition, Teflon, or equal, cable lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Case management, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1016","description":"Case management, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY DEL SYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY DEL SYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), without knee joint, rigid, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1834","description":"Knee orthotic (KO), without knee joint, rigid, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ABVE ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6950","description":"ABVE ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Glasses, air conduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5070","description":"Glasses, air conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2394","description":"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, rigid (pickup), adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0130","description":"Walker, rigid (pickup), adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1024","description":"Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EEF SPLY KIT; ELAST CTRL FED PD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4148","description":"EEF SPLY KIT; ELAST CTRL FED PD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents, liquid, 1 month's supply = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0444","description":"Portable oxygen contents, liquid, 1 month's supply = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0447","description":"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0550","description":"Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >51.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0501","description":"Non-traumatic spinal cord injury with Motor >51.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1590","description":"Hemodialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8033","description":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND S W >=5\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6447","description":"CONFORM BAND S W >=5\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor <26.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0304","description":"Non-traumatic brain injury with Motor <26.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis type 2 position joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2570","description":"Addition to lower extremity, pelvic control, hip joint, Clevis type 2 position joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6050","description":"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elevating legrests, pair (for use with capped rental wheelchair base)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0195","description":"Elevating legrests, pair (for use with capped rental wheelchair base)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures; by a physician other than the physician who originally closed the wound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0630","description":"Removal of sutures; by a physician other than the physician who originally closed the wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHAIR TRUNK HIP SUPPORT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1034","description":"WHEELCHAIR TRUNK HIP SUPPORT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0425","description":"Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training, nonfamily; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5115","description":"Home care training, nonfamily; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan, standard, metal or plastic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0275","description":"Bed pan, standard, metal or plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gait trainer, pediatric size, posterior support, includes all accessories and components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E8000","description":"Gait trainer, pediatric size, posterior support, includes all accessories and components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation supply; cone/catheter, with or without brush","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4399","description":"Ostomy irrigation supply; cone/catheter, with or without brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair with detachable arms, footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1223","description":"Wheelchair with detachable arms, footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0691","description":"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5521","description":"Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4432","description":"Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9375","description":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Normal, low, and high calibrator solution/chips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4256","description":"Normal, low, and high calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8080","description":"Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Holding chamber or spacer for use with an inhaler or nebulizer; with mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8101","description":"Holding chamber or spacer for use with an inhaler or nebulizer; with mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Back school, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9117","description":"Back school, per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm for contraceptive use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4266","description":"Diaphragm for contraceptive use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom breast prosthesis, post mastectomy, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8035","description":"Custom breast prosthesis, post mastectomy, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Calcitrol, 0.25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0169","description":"Calcitrol, 0.25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microprocessor control feature, addition to upper limb prosthetic terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6882","description":"Microprocessor control feature, addition to upper limb prosthetic terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8623","description":"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9354","description":"Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4014","description":"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Helmet, protective, hard, custom fabricated, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8003","description":"Helmet, protective, hard, custom fabricated, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Powered pressure-reducing air mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0277","description":"Powered pressure-reducing air mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1150","description":"Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Eosinophil count, blood, direct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3630","description":"Eosinophil count, blood, direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4350","description":"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0555","description":"Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >42.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0701","description":"Fracture of lower extremity with Motor >42.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1704","description":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1226","description":"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4720","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS+ SOLO SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2042","description":"FOUNDATION DRS+ SOLO SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution, per 10 grams lipids","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4185","description":"Parenteral nutrition solution, per 10 grams lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0092","description":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, hightop with supinator or pronator, infant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3204","description":"Orthopedic shoe, hightop with supinator or pronator, infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice inpatient respite care; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2044","description":"Hospice inpatient respite care; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, Oxford with supinator or pronator, infant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3201","description":"Orthopedic shoe, Oxford with supinator or pronator, infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5857","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure elevator for heel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0370","description":"Air pressure elevator for heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water chamber for humidifier, used with positive airway pressure device, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7046","description":"Water chamber for humidifier, used with positive airway pressure device, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor <31.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1404","description":"Cardiac with Motor <31.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma stent/stud/button, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7524","description":"Tracheostoma stent/stud/button, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5828","description":"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4102","description":"Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0954","description":"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, microprocessor simultaneous control of elbow and terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7181","description":"Electronic elbow, microprocessor simultaneous control of elbow and terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1220","description":"Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2409","description":"Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5, without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0108","description":"Stroke with Motor <26.15 & Age >84.5, without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic eye, other type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2629","description":"Prosthetic eye, other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal blue tooth FM/DM receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5286","description":"Assistive listening device, personal blue tooth FM/DM receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1130","description":"Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3050","description":"Foot, arch support, removable, premolded, metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2363","description":"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2621","description":"Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, toe tap, horseshoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3560","description":"Orthopedic shoe addition, toe tap, horseshoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1086","description":"Hemi-wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood-derived stem-cell transplantation, allogeneic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2142","description":"Cord blood-derived stem-cell transplantation, allogeneic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Peak expiratory flow rate (physician services)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8110","description":"Peak expiratory flow rate (physician services)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, brief/diaper, small, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4521","description":"Adult sized disposable incontinence product, brief/diaper, small, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enema bag with tubing, reusable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4458","description":"Enema bag with tubing, reusable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY TOCOLYTIC;  PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9349","description":"HOME INFUSION THERAPY TOCOLYTIC;  PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose with potassium chloride, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5012","description":"5% dextrose with potassium chloride, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HYDROPHILIC COAT INSERT SUP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4297","description":"HYDROPHILIC COAT INSERT SUP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6910","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron HCl, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0091","description":"Granisetron HCl, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Islet cell tissue transplant from pancreas; allogeneic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2102","description":"Islet cell tissue transplant from pancreas; allogeneic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LOW PROSTH FOOT SHELL REPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5992","description":"LOW PROSTH FOOT SHELL REPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot/shoe, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3260","description":"Surgical boot/shoe, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, removable medial brim suspension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5672","description":"Addition to lower extremity, below knee, removable medial brim suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Holding chamber or spacer for use with an inhaler or nebulizer; without mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8100","description":"Holding chamber or spacer for use with an inhaler or nebulizer; without mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transmitting coil for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8617","description":"Transmitting coil for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4192","description":"Restorigin, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care services; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5125","description":"Attendant care services; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Caster pin lock, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0073","description":"Caster pin lock, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair/modification of a hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5014","description":"Repair/modification of a hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2745","description":"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day care services, adult; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5102","description":"Day care services, adult; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external controller component, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8628","description":"Cochlear implant, external controller component, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >31.25 & Motor <40.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0503","description":"Non-traumatic spinal cord injury with Motor >31.25 & Motor <40.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0433","description":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patches, legend","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4990","description":"Nicotine patches, legend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter, disposable, used with aerosol compressor or ultrasonic generator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7013","description":"Filter, disposable, used with aerosol compressor or ultrasonic generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2800","description":"Addition to lower extremity orthotic, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9362","description":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Activated carbon filter for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4680","description":"Activated carbon filter for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-disposable underpads, all sizes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4553","description":"Non-disposable underpads, all sizes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day habilitation, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2020","description":"Day habilitation, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot, pair, child","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3213","description":"Benesch boot, pair, child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0801","description":"Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Equestrian/hippotherapy, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8940","description":"Equestrian/hippotherapy, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG SP LNR LW EXT ANY SZ/L E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6594","description":"GD CMP BDG SP LNR LW EXT ANY SZ/L E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, abduction bar, straight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2310","description":"Addition to lower extremity, abduction bar, straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2415","description":"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCO ORTHOS KYPHO PAD FLTG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1025","description":"ADD CTLSO/SCO ORTHOS KYPHO PAD FLTG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9994","description":"Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2204","description":"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2083","description":"Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Exemestane, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0156","description":"Exemestane, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9331","description":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, other extremity with Motor >36.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1101","description":"Amputation, other extremity with Motor >36.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2304","description":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT IM CRD CCM GR ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1030","description":"EXT RCHG SYS BAT IM CRD CCM GR ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Polishing/resurfacing of ocular prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2624","description":"Polishing/resurfacing of ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High mount flip-up footrest, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0037","description":"High mount flip-up footrest, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEUM SEQ COMPRES GRMNT FULL ARM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0682","description":"NONPNEUM SEQ COMPRES GRMNT FULL ARM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FERTILITY CYCLE TRACKING SOFTWARE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9293","description":"FERTILITY CYCLE TRACKING SOFTWARE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9453","description":"Smoking cessation classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, below elbow or wrist disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6687","description":"Upper extremity addition, frame type socket, below elbow or wrist disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor <36.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1003","description":"Amputation, lower extremity with Motor <36.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"General use wheelchair seat cushion, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2602","description":"General use wheelchair seat cushion, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, fixed full-length arms, swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1200","description":"Amputee wheelchair, fixed full-length arms, swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, unspecified hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5090","description":"Dispensing fee, unspecified hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9560","description":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2627","description":"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BELW ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6930","description":"BELW ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4005","description":"Cast supplies, long arm cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4153","description":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe lens feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2702","description":"Deluxe lens feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BREAST RECON W/GLUTEAL ART PERFORATOR FLAP UNI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2066","description":"BREAST RECON W/GLUTEAL ART PERFORATOR FLAP UNI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor >37.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1601","description":"Pain syndrome with Motor >37.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6455","description":"Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT CSTM INSRT CNGN/ATYP TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5681","description":"ADD LW EXT CSTM INSRT CNGN/ATYP TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit, portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0239","description":"Hydrocollator unit, portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow-wrist-hand-finger orthotic (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3765","description":"Elbow-wrist-hand-finger orthotic (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, band and belt, unilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2630","description":"Addition to lower extremity, pelvic control, band and belt, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, brief/diaper, large, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4523","description":"Adult sized disposable incontinence product, brief/diaper, large, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other scoliosis procedure, postoperative body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1310","description":"Other scoliosis procedure, postoperative body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2381","description":"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive or nonadhesive; disk or foam pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5126","description":"Adhesive or nonadhesive; disk or foam pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5960","description":"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7401","description":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medication reminder service, nonface-to-face; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5185","description":"Medication reminder service, nonface-to-face; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, chest or shoulder, saddle type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6672","description":"Upper extremity addition, harness, chest or shoulder, saddle type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9356","description":"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0172","description":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High-strength lightweight wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1090","description":"High-strength lightweight wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4424","description":"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, other extremity with Motor >36.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1101","description":"Amputation, other extremity with Motor >36.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Personal care item, NOS, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5199","description":"Personal care item, NOS, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >30.35 & Motor <48.45.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0402","description":"Traumatic spinal cord injury with Motor >30.35 & Motor <48.45.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5535","description":"Preparatory, below knee PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with integrated seat lift mechanism, nonelectric, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0171","description":"Commode chair with integrated seat lift mechanism, nonelectric, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Variable sphericity lens, other type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2499","description":"Variable sphericity lens, other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8000","description":"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2506","description":"Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INNOVABURN/INNOVAMTRX XL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2022","description":"INNOVABURN/INNOVAMTRX XL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, rigid, adjustable, with seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1235","description":"Wheelchair, pediatric size, rigid, adjustable, with seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame, attached to bed, includes weights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0920","description":"Fracture frame, attached to bed, includes weights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7509","description":"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2323","description":"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair, detachable arms (desk or full-length) elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1280","description":"Heavy-duty wheelchair, detachable arms (desk or full-length) elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, glove to axilla, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6506","description":"Compression burn garment, glove to axilla, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2650","description":"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enuresis alarm, using auditory buzzer and/or vibration device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8270","description":"Enuresis alarm, using auditory buzzer and/or vibration device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pad for infrared heating pad system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4639","description":"Replacement pad for infrared heating pad system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6402","description":"Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9325","description":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, heavy-duty, wheeled, rigid or folding, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0149","description":"Walker, heavy-duty, wheeled, rigid or folding, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0605","description":"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, formed to patient foot, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3030","description":"Foot insert, removable, formed to patient foot, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8696","description":"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3675","description":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasal pillows for combination oral/nasal mask, replacement only, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7029","description":"Nasal pillows for combination oral/nasal mask, replacement only, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonthermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0761","description":"Nonthermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, menotropins, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0122","description":"Injection, menotropins, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion, 25 to 28 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2265","description":"Induced abortion, 25 to 28 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5925","description":"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9339","description":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WALKER BATTERY POWER WHEELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0152","description":"WALKER BATTERY POWER WHEELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, heavy-duty control cable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6660","description":"Upper extremity addition, heavy-duty control cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, multiaxial rotation unit (MCP or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5986","description":"All lower extremity prostheses, multiaxial rotation unit (MCP or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthotic (LSO), corset front","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0972","description":"Lumbar-sacral orthotic (LSO), corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"STRATTICE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4130","description":"STRATTICE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, analog, monaural, ITC (in the canal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5243","description":"Hearing aid, analog, monaural, ITC (in the canal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4722","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG CONF GZ P/LIN YD ANY W E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6596","description":"GD CMP BDG CONF GZ P/LIN YD ANY W E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fitting/orientation/checking of hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5011","description":"Fitting/orientation/checking of hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective underwear/pull-on, large size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4527","description":"Adult sized disposable incontinence product, protective underwear/pull-on, large size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, variable height, hi-lo, without side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0292","description":"Hospital bed, variable height, hi-lo, without side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0296","description":"Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure exterior wrap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8429","description":"Gradient pressure exterior wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable radiation dosimeter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4650","description":"Implantable radiation dosimeter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2510","description":"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1210","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST KNEE EXTENSION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1813","description":"ADJUST KNEE EXTENSION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test, hormone level; to assess preterm labor risk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3652","description":"Saliva test, hormone level; to assess preterm labor risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable ankle extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1815","description":"Dynamic adjustable ankle extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, shoulder disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6689","description":"Upper extremity addition, frame type socket, shoulder disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg splint, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4046","description":"Cast supplies, short leg splint, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spring-powered device for lancet, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4258","description":"Spring-powered device for lancet, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, pad, removable for spur","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3485","description":"Heel, pad, removable for spur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9341","description":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Food thickener, administered orally, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4100","description":"Food thickener, administered orally, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0188","description":"Synthetic sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Finger orthotic (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3933","description":"Finger orthotic (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6706","description":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6900","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor <24.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0904","description":"Other orthopedic with Motor <24.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular rehabilitation program, nonphysician provider, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9476","description":"Vestibular rehabilitation program, nonphysician provider, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM system, binaural (2 receivers, transmitter, microphone), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5282","description":"Assistive listening device, personal FM/DM system, binaural (2 receivers, transmitter, microphone), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5710","description":"Addition, exoskeletal knee-shin system, single axis, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Noncovered item or service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9270","description":"Noncovered item or service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, total contact","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5637","description":"Addition to lower extremity, below knee, total contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aniseikonic lens, trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2318","description":"Aniseikonic lens, trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Processing, preserving and transporting corneal tissue","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2785","description":"Processing, preserving and transporting corneal tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2116","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift, bathroom or toilet, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0625","description":"Patient lift, bathroom or toilet, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump, home model, portable, for use on wounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0743","description":"Suction pump, home model, portable, for use on wounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0301","description":"Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMPR GMT LW LG&FT PAD NOT CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6525","description":"GD CMPR GMT LW LG&FT PAD NOT CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG HI DNS FM ROLL P/Y ANY W","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6602","description":"GD CMP BDG HI DNS FM ROLL P/Y ANY W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2221","description":"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, heavy-duty, multiple braking system, variable wheel resistance","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0147","description":"Walker, heavy-duty, multiple braking system, variable wheel resistance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean birth classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9438","description":"Cesarean birth classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0888","description":"Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultrafiltration monitor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9007","description":"Ultrafiltration monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0560","description":"Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe with needle, sterile, 1 cc or less, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4206","description":"Syringe with needle, sterile, 1 cc or less, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6230","description":"Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing, sodium channel, voltage-gated, type V, alpha subunit (SCN5A) and variants for suspected Brugada Syndrome","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3861","description":"Genetic testing, sodium channel, voltage-gated, type V, alpha subunit (SCN5A) and variants for suspected Brugada Syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS FINGER DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1832","description":"SPS FINGER DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DNA analysis for germline mutations of the RET proto-oncogene for susceptibility to multiple endocrine neoplasia type 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3840","description":"DNA analysis for germline mutations of the RET proto-oncogene for susceptibility to multiple endocrine neoplasia type 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GAUNTLET CUSTOM EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6565","description":"GRADIENT COMPR GAUNTLET CUSTOM EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Community transition, waiver; per service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2038","description":"Community transition, waiver; per service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement garment for use with automated external defibrillator, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0608","description":"Replacement garment for use with automated external defibrillator, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3916","description":"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction stand, freestanding, extremity traction (e.g., Buck's)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0880","description":"Traction stand, freestanding, extremity traction (e.g., Buck's)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0982","description":"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, additional disconnect insert for locking wrist unit, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6616","description":"Upper extremity addition, additional disconnect insert for locking wrist unit, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5961","description":"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR ARM SLEEVE&GLOVE COMB EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6575","description":"GRAD COMPR ARM SLEEVE&GLOVE COMB EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5695","description":"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0850","description":"Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for home delivery of infant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8415","description":"Supplies for home delivery of infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0878","description":"Power wheelchair, group 4 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >30.05 & Motor <34.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0106","description":"Stroke with Motor >30.05 & Motor <34.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELEC POSIT OSA TX W/SENSOR COMP ACC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0530","description":"ELEC POSIT OSA TX W/SENSOR COMP ACC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, body cast adult, with or without head, fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4002","description":"Cast supplies, body cast adult, with or without head, fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with faceplate attached, plastic, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4379","description":"Ostomy pouch, urinary, with faceplate attached, plastic, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4372","description":"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sterile saline or water, metered dose dispenser, 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4218","description":"Sterile saline or water, metered dose dispenser, 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTH SAG/COR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1006","description":"SCOLIOSIS ORTH SAG/COR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, lower trunk including leg openings (panty), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6511","description":"Compression burn garment, lower trunk including leg openings (panty), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cycler dialysis machine for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1594","description":"Cycler dialysis machine for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Iris supported intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2631","description":"Iris supported intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stoma plug or seal, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5081","description":"Stoma plug or seal, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST FINGER FLEXION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1827","description":"ADJUST FINGER FLEXION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4409","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for myotonic muscular dystrophy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3853","description":"Genetic testing for myotonic muscular dystrophy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film, sterile, 16 sq in or less, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6257","description":"Transparent film, sterile, 16 sq in or less, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stockings below knee length, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4500","description":"Surgical stockings below knee length, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0184","description":"Dry pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube, noncuffed, polyvinylchloride (PVC), silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7520","description":"Tracheostomy/laryngectomy tube, noncuffed, polyvinylchloride (PVC), silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery for use in hearing device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5266","description":"Battery for use in hearing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >23.75 & Motor <29.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0505","description":"Non-traumatic spinal cord injury with Motor >23.75 & Motor <29.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0812","description":"Power operated vehicle, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0204","description":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of auditory brain stem implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2235","description":"Implantation of auditory brain stem implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT UP LMB TRMR STIM PERIP NRV WRST","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0734","description":"EXT UP LMB TRMR STIM PERIP NRV WRST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, lever-activated, wheel drive, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0988","description":"Manual wheelchair accessory, lever-activated, wheel drive, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, swedish type, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1850","description":"Knee orthosis, swedish type, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neox Flo or Clarix Flo 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4155","description":"Neox Flo or Clarix Flo 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0785","description":"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral hip, knee, ankle, foot (H","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1007","description":"Bilateral hip, knee, ankle, foot (H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0038","description":"Leg strap, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROV COVID-19 TST NP 1 TST CNT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1034","description":"PROV COVID-19 TST NP 1 TST CNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TEST INTERFACE PART HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6029","description":"TEST INTERFACE PART HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor <36.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1003","description":"Amputation, lower extremity with Motor <36.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rollabout chair, any and all types with castors 5 in or greater","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1031","description":"Rollabout chair, any and all types with castors 5 in or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9961","description":"Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Donor lobectomy (lung) for transplantation, living donor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2061","description":"Donor lobectomy (lung) for transplantation, living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Communication board, nonelectronic augmentative or alternative communication device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1902","description":"Communication board, nonelectronic augmentative or alternative communication device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological examination including refraction; established patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0621","description":"Routine ophthalmological examination including refraction; established patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, conventional air services, nonemergency transport, one way (fixed wing)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9960","description":"Ambulance service, conventional air services, nonemergency transport, one way (fixed wing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7507","description":"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Coupling gel or paste, for use with ultrasound device, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4559","description":"Coupling gel or paste, for use with ultrasound device, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, enclosed, 4 sided framed, rigid or folding, wheeled with posterior seat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0144","description":"Walker, enclosed, 4 sided framed, rigid or folding, wheeled with posterior seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5826","description":"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, toe tap, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3550","description":"Orthopedic shoe addition, toe tap, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, long acting; 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5553","description":"Insulin, long acting; 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Integra flowable wound matrix, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4114","description":"Integra flowable wound matrix, injectable, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0488","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reservoir bottle, nondisposable, used with large volume ultrasonic nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7009","description":"Reservoir bottle, nondisposable, used with large volume ultrasonic nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chlorambucil, oral, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0172","description":"Chlorambucil, oral, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, microprocessor sequential control of elbow and terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7180","description":"Electronic elbow, microprocessor sequential control of elbow and terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous DME supply, accessory, and/or service component of another HCPCS code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9900","description":"Miscellaneous DME supply, accessory, and/or service component of another HCPCS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2107","description":"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5722","description":"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6222","description":"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5510","description":"For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy faceplate equivalent, silicone ring, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4384","description":"Ostomy faceplate equivalent, silicone ring, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Extra heavy-duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0007","description":"Extra heavy-duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTRA-VAG MOTION SENS BIOFEEDBACK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9002","description":"INTRA-VAG MOTION SENS BIOFEEDBACK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence supply, urethral insert, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4336","description":"Incontinence supply, urethral insert, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable cardiac event recorder with memory, activator, and programmer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0616","description":"Implantable cardiac event recorder with memory, activator, and programmer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic camping, overnight, waiver; each session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2036","description":"Therapeutic camping, overnight, waiver; each session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELECTRO NERVE STIMULATOR RLS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4544","description":"ELECTRO NERVE STIMULATOR RLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paramedic intercept, nonhospital-based ALS service (nonvoluntary), nontransport","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0207","description":"Paramedic intercept, nonhospital-based ALS service (nonvoluntary), nontransport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5362","description":"Speech screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SOLID ORGAN; TRANSPLANTATION & RELATED COMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2152","description":"SOLID ORGAN; TRANSPLANTATION & RELATED COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continuous positive airway pressure (CPAP) device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601","description":"Continuous positive airway pressure (CPAP) device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Durable medical equipment, miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1399","description":"Durable medical equipment, miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0802","description":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0504","description":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Eye patch, occlusive, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6412","description":"Eye patch, occlusive, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0787","description":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIV-1 antibody testing of oral mucosal transudate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3645","description":"HIV-1 antibody testing of oral mucosal transudate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0120","description":"Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special base curve, glass or plastic, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2730","description":"Special base curve, glass or plastic, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, adjustable (plastic collar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0140","description":"Cervical, semi-rigid, adjustable (plastic collar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1840","description":"Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tint, photochromatic, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2744","description":"Tint, photochromatic, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1640","description":"Hip orthotic (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, mens shoe, oxford, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3219","description":"Orthopedic footwear, mens shoe, oxford, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEU SEQUENTIAL COMP GMT TRUNK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0677","description":"NONPNEU SEQUENTIAL COMP GMT TRUNK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4034","description":"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, child, Variety Village or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7186","description":"Electronic elbow, child, Variety Village or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6570","description":"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5645","description":"Addition to lower extremity, below knee, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0843","description":"Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehabilitation program, nonphysician provider, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9473","description":"Pulmonary rehabilitation program, nonphysician provider, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2430","description":"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2220","description":"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin sealants, protectants, moisturizers, ointments, any type, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6250","description":"Skin sealants, protectants, moisturizers, ointments, any type, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR GRMT GENITAL REG CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6571","description":"GRAD COMPR GRMT GENITAL REG CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit), home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4178","description":"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit), home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2034","description":"Crisis intervention, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home, by licensed practical nurse, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1031","description":"Nursing care, in the home, by licensed practical nurse, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Male external catheter with integral collection chamber, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4326","description":"Male external catheter with integral collection chamber, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sitz type bath or equipment, portable, used with or without commode","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0160","description":"Sitz type bath or equipment, portable, used with or without commode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trifocal seg width over 28 mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2319","description":"Trifocal seg width over 28 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1041","description":"Medicaid certified community behavioral health clinic services, per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Procuren or other growth factor preparation to promote wound healing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9055","description":"Procuren or other growth factor preparation to promote wound healing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2231","description":"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXPIRATORY PAP INTRANASAL R VLV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7049","description":"EXPIRATORY PAP INTRANASAL R VLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Initial, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5500","description":"Initial, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, thermoplastic type casting material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2126","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, thermoplastic type casting material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3710","description":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, all supplies necessary for catheter repair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5518","description":"Home infusion therapy, all supplies necessary for catheter repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0978","description":"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable drug delivery system, flow rate of 50 ml or greater per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4305","description":"Disposable drug delivery system, flow rate of 50 ml or greater per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STCK THIGH L 30-40MMHG CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6557","description":"GD CMP STCK THIGH L 30-40MMHG CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gloves, sterile, per pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4930","description":"Gloves, sterile, per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUB ANY TYPE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4561","description":"PESSARY REUSABLE RUB ANY TYPE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow, molded double wall socket, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6250","description":"Above elbow, molded double wall socket, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4112","description":"Cymetra, injectable, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ocular implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8610","description":"Ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair of prosthetic device, repair or replace minor parts","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7510","description":"Repair of prosthetic device, repair or replace minor parts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fixed, adjustable height armrest, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0020","description":"Fixed, adjustable height armrest, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion set for external insulin pump, needle type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4231","description":"Infusion set for external insulin pump, needle type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to mobile arm support, supinator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2633","description":"Wheelchair accessory, addition to mobile arm support, supinator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Safety vest, wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0980","description":"Safety vest, wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD CMP STCK BLW KNEE 30-40MM HG EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6552","description":"GRD CMP STCK BLW KNEE 30-40MM HG EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8604","description":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0407","description":"Traumatic spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy care kit for established tracheostomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4629","description":"Tracheostomy care kit for established tracheostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing system, binaural, bte/bte","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5221","description":"Hearing aid, contralateral routing system, binaural, bte/bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4393","description":"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR UE ROM AST DVC ELB WR HAND 1/DBL UP CUS FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8701","description":"PWR UE ROM AST DVC ELB WR HAND 1/DBL UP CUS FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5858","description":"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1012","description":"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy shower protector, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7523","description":"Tracheostomy shower protector, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0040","description":"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert, not disposable, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5264","description":"Ear mold/insert, not disposable, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6258","description":"Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND N/S W>=5\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6444","description":"CONFORM BAND N/S W>=5\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with motor score from 12 -32 and patient is 81 years old or younger,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2005","description":"Miscellaneous with motor score from 12 -32 and patient is 81 years old or younger,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2500","description":"Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2367","description":"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence garment, any type, (e.g., brief, diaper), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4520","description":"Incontinence garment, any type, (e.g., brief, diaper), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheal suction catheter, closed system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4605","description":"Tracheal suction catheter, closed system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5460","description":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1029","description":"Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4315","description":"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic membrane for surgical reconstruction, per procedure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2790","description":"Amniotic membrane for surgical reconstruction, per procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2039","description":"INNOVAMATRIX FD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND N/S W>=3\"<5\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6443","description":"CONFORM BAND N/S W>=3\"<5\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9209","description":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Platform attachment, forearm crutch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0153","description":"Platform attachment, forearm crutch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable drug delivery system, flow rate of less than 50 ml per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4306","description":"Disposable drug delivery system, flow rate of less than 50 ml per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous DME supply or accessory, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9999","description":"Miscellaneous DME supply or accessory, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface for helmet, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8004","description":"Soft interface for helmet, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lobar lung transplantation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2060","description":"Lobar lung transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6711","description":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2109","description":"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, pediatric size, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1239","description":"Power wheelchair, pediatric size, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, multidurometer, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5665","description":"Addition to lower extremity, socket insert, multidurometer, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NON PNEU PERISTALIC COMP PMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0683","description":"NON PNEU PERISTALIC COMP PMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Noncoring needle or stylet with or without catheter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4212","description":"Noncoring needle or stylet with or without catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home visit, phototherapy services (e.g., Bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9098","description":"Home visit, phototherapy services (e.g., Bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4032","description":"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, drop lock knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2182","description":"Addition to lower extremity fracture orthotic, drop lock knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5, comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0108","description":"Stroke with Motor <26.15 & Age >84.5, comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Management of ovulation induction (interpretation of diagnostic tests and studies, nonface-to-face medical management of the patient), per cycle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4042","description":"Management of ovulation induction (interpretation of diagnostic tests and studies, nonface-to-face medical management of the patient), per cycle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical home program, comprehensive care coordination and planning, initial plan","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0280","description":"Medical home program, comprehensive care coordination and planning, initial plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2614","description":"Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring, for vacuum erection device, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7902","description":"Tension ring, for vacuum erection device, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, interscapular-thoracic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6690","description":"Upper extremity addition, frame type socket, interscapular-thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic knee, extension/flexion device with active resistance control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1812","description":"Dynamic knee, extension/flexion device with active resistance control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9504","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Six volt battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7360","description":"Six volt battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0255","description":"Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve and glove combination), ready made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8421","description":"Gradient pressure aid (sleeve and glove combination), ready made","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL FRAME PART HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6030","description":"EXTERNAL FRAME PART HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition supply kit; home mix, per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4222","description":"Parenteral nutrition supply kit; home mix, per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Saquinavir, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0140","description":"Saquinavir, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cushion for use on nasal mask interface, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7032","description":"Cushion for use on nasal mask interface, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2060","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, thoracic pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1060","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, thoracic pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4234","description":"Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump, implantable, nonprogrammable (includes all components, e.g., pump, catheter, connectors, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0782","description":"Infusion pump, implantable, nonprogrammable (includes all components, e.g., pump, catheter, connectors, etc.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, gas permeable, bifocal, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2512","description":"Contact lens, gas permeable, bifocal, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of ocular prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2626","description":"Reduction of ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Polarization, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2762","description":"Polarization, any lens material, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5824","description":"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTGRA DRT/OMNIGR DERM RGN MTX P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4105","description":"INTGRA DRT/OMNIGR DERM RGN MTX P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL RECHARG SYS INTERNAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8689","description":"EXTERNAL RECHARG SYS INTERNAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery, rechargeable, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7367","description":"Lithium ion battery, rechargeable, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elevating legrest, upper hanger bracket, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0047","description":"Elevating legrest, upper hanger bracket, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External breast prosthesis garment, with mastectomy form, post mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8015","description":"External breast prosthesis garment, with mastectomy form, post mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor >27.85 & Motor <38.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2003","description":"Miscellaneous with Motor >27.85 & Motor <38.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRIP GLOVE W MICROPROCESSOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8005","description":"GRIP GLOVE W MICROPROCESSOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special wheelchair seat depth and/or width, by construction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1298","description":"Special wheelchair seat depth and/or width, by construction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home blood glucose monitor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0607","description":"Home blood glucose monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve for intermittent limb compression device, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4600","description":"Sleeve for intermittent limb compression device, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8511","description":"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0956","description":"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assisted living; waiver, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2031","description":"Assisted living; waiver, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation by ocularist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9150","description":"Evaluation by ocularist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, excursion amplifier, pulley type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6641","description":"Upper extremity addition, excursion amplifier, pulley type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT PRES WRAP ADJ STRAP BRA EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6589","description":"GRADIENT PRES WRAP ADJ STRAP BRA EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foster care, adult; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5140","description":"Foster care, adult; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1220","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0200","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 in above the spring, includes mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0328","description":"Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 in above the spring, includes mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5321","description":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Variable asphericity lens, single vision, full field, glass or plastic, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2410","description":"Variable asphericity lens, single vision, full field, glass or plastic, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), external powered, electric, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3904","description":"Wrist-hand-finger orthotic (WHFO), external powered, electric, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, 1 unit = 1 day supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9276","description":"Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, 1 unit = 1 day supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, caliper plate, new","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3610","description":"Transfer of an orthosis from one shoe to another, caliper plate, new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, locking elbow, forearm counterbalance","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6693","description":"Upper extremity addition, locking elbow, forearm counterbalance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Footrest, lower extension tube, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0043","description":"Footrest, lower extension tube, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1087","description":"High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOBAND/GUARDIAN PER SQ CENTIMETR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4151","description":"AMNIOBAND/GUARDIAN PER SQ CENTIMETR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0884","description":"Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard-weight frame motorized/power wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0010","description":"Standard-weight frame motorized/power wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0851","description":"Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DISTAL TRANSCUT ELECTRICAL NRV STIM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4540","description":"DISTAL TRANSCUT ELECTRICAL NRV STIM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0731","description":"Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Refill kit for implantable infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4220","description":"Refill kit for implantable infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Burns with motor score from 12 -45.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2102","description":"Burns with motor score from 12 -45.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Toronto type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1700","description":"Legg Perthes orthotic, (Toronto type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear device, includes all internal and external components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8614","description":"Cochlear device, includes all internal and external components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow-wrist-hand orthotic (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3763","description":"Elbow-wrist-hand orthotic (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST KNEE FLEXION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1814","description":"ADJUST KNEE FLEXION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4193","description":"PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continuous passive motion exercise device for use other than knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0936","description":"Continuous passive motion exercise device for use other than knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MONTHLY SUPPLIES USE DVC CODE E0733","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4541","description":"MONTHLY SUPPLIES USE DVC CODE E0733","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound suction, disposable, includes dressing, all accessories and components, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9272","description":"Wound suction, disposable, includes dressing, all accessories and components, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lubricant, individual sterile packet, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4332","description":"Lubricant, individual sterile packet, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for patient-owned ear pulse generator, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4638","description":"Replacement battery for patient-owned ear pulse generator, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1833","description":"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, offset knee joint, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2390","description":"Addition to lower extremity, offset knee joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use CPT code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1031","description":"Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use CPT code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Respite care, in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9125","description":"Respite care, in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5966","description":"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with hydraulic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5613","description":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with hydraulic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, counter, leather reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3440","description":"Heel, counter, leather reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, cuff suspension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5666","description":"Addition to lower extremity, below knee, cuff suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARTIFICIAL SALIVA 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9154","description":"ARTIFICIAL SALIVA 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, Plastazote or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3002","description":"Foot insert, removable, molded to patient model, Plastazote or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2307","description":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic esophagomyotomy (Heller type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2079","description":"Laparoscopic esophagomyotomy (Heller type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIRODRY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2031","description":"MIRODRY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 sq in but less than or equal to 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0745","description":"Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 sq in but less than or equal to 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5590","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, reinforced solid stirrup (Scott-Craig type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2260","description":"Addition to lower extremity, reinforced solid stirrup (Scott-Craig type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable underpads, all sizes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4554","description":"Disposable underpads, all sizes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BLS mileage (per mile)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0380","description":"BLS mileage (per mile)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3730","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: ancillary: lodging-recipient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0180","description":"Nonemergency transportation: ancillary: lodging-recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0506","description":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1231","description":"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PART HANDFING ACRYLIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6033","description":"PART HANDFING ACRYLIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1848","description":"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2311","description":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4529","description":"Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bed board","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0273","description":"Bed board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6905","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor >37.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1601","description":"Pain syndrome with Motor >37.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5270","description":"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, monaural, ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5255","description":"Hearing aid, digital, monaural, ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, molded socket, tibial tubercle height, with toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5020","description":"Partial foot, molded socket, tibial tubercle height, with toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, solid stirrup, new","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3630","description":"Transfer of an orthosis from one shoe to another, solid stirrup, new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0603","description":"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5500","description":"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shockwave lithotripsy for gall stones (if performed with ERCP, use 43265)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9034","description":"Extracorporeal shockwave lithotripsy for gall stones (if performed with ERCP, use 43265)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5964","description":"Addition, endoskeletal system, above knee, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence supply; miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4335","description":"Incontinence supply; miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, hydracadence system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5610","description":"Addition to lower extremity, endoskeletal system, above knee, hydracadence system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, protective underwear/pull-on, reusable, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4536","description":"Incontinence product, protective underwear/pull-on, reusable, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME VENT DUAL FNCT INCL ALL ACCESS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0468","description":"HOME VENT DUAL FNCT INCL ALL ACCESS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5595","description":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), posterior solid ankle, plastic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1960","description":"Ankle-foot orthotic (AFO), posterior solid ankle, plastic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation and air travel (private or commercial) intra- or interstate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0140","description":"Nonemergency transportation and air travel (private or commercial) intra- or interstate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1023","description":"Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; without barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5052","description":"Ostomy pouch, closed; without barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Donor egg cycle, incomplete, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4023","description":"Donor egg cycle, incomplete, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transtracheal oxygen catheter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4608","description":"Transtracheal oxygen catheter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foster care, therapeutic, child; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5146","description":"Foster care, therapeutic, child; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interferential current stimulator, 2 channel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8130","description":"Interferential current stimulator, 2 channel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing system, binaural, ite/bte","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5213","description":"Hearing aid, contralateral routing system, binaural, ite/bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trifocal vision prescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0508","description":"Trifocal vision prescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ear impression, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5275","description":"Ear impression, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Methadone, oral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0109","description":"Methadone, oral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2213","description":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; without barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5072","description":"Ostomy pouch, urinary; without barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1702","description":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GLUCOSE MONITOR W CARTRIDGE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2104","description":"GLUCOSE MONITOR W CARTRIDGE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INDWLL IU D DVC V PT INS REPLC EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4341","description":"INDWLL IU D DVC V PT INS REPLC EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, torsion control, straight knee joint, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2380","description":"Addition to lower extremity, torsion control, straight knee joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, foam filled caster tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2217","description":"Manual wheelchair accessory, foam filled caster tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, protective underpad, reusable, bed size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4537","description":"Incontinence product, protective underpad, reusable, bed size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INJ TX IMMUNOTHERAPY PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9563","description":"HOME INJ TX IMMUNOTHERAPY PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0868","description":"Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral trochanteric pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1290","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral trochanteric pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gravity assisted traction device, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0941","description":"Gravity assisted traction device, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1233","description":"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, wrist disarticulation or below elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6680","description":"Upper extremity addition, test socket, wrist disarticulation or below elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2625","description":"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0615","description":"Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2300","description":"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, glove to wrist, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6504","description":"Compression burn garment, glove to wrist, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physician management of patient home care, standard monthly case rate (per 30 days)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0270","description":"Physician management of patient home care, standard monthly case rate (per 30 days)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound filler, sterile, per g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6215","description":"Foam dressing, wound filler, sterile, per g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4013","description":"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cane, includes canes of all materials, adjustable or fixed, with tip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0100","description":"Cane, includes canes of all materials, adjustable or fixed, with tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0056","description":"Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST ANKLE EXTENSION DEV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1822","description":"ADJUST ANKLE EXTENSION DEV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AmnioMatrix or BioDMatrix, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4139","description":"AmnioMatrix or BioDMatrix, injectable, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal bar wedge, rocker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3400","description":"Metatarsal bar wedge, rocker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, seat upholstery, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0981","description":"Wheelchair accessory, seat upholstery, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, myelomeningocele in the fetus, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2404","description":"Repair, myelomeningocele in the fetus, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy faceplate, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4361","description":"Ostomy faceplate, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3809","description":"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Single lens spectacle mounted low vision aids","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2610","description":"Single lens spectacle mounted low vision aids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, knee joints, single axis, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5676","description":"Additions to lower extremity, below knee, knee joints, single axis, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1034","description":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor <23.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1803","description":"Major multiple trauma with brain or spinal cord injury with Motor <23.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy deodorant for use in ostomy pouch, solid, per tablet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4395","description":"Ostomy deodorant for use in ostomy pouch, solid, per tablet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0802","description":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, binaural, ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5259","description":"Hearing aid, digital, binaural, ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services by a Journal-listed Christian Science practitioner for the purpose of healing, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9900","description":"Services by a Journal-listed Christian Science practitioner for the purpose of healing, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Residential care, not otherwise specified (NOS), waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2033","description":"Residential care, not otherwise specified (NOS), waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8513","description":"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9329","description":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy; in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9131","description":"Physical therapy; in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4025","description":"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBand, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4168","description":"AmnioBand, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded calf lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4050","description":"Replace molded calf lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM adapter/boot coupling device for receiver, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5289","description":"Assistive listening device, personal FM/DM adapter/boot coupling device for receiver, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2002","description":"Nonemergency transportation; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Integral lens service, miscellaneous services reported separately","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0590","description":"Integral lens service, miscellaneous services reported separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, binaural, BTE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5261","description":"Hearing aid, digital, binaural, BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5782","description":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PECTUS CARINATUM ORTHO CUST FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1320","description":"PECTUS CARINATUM ORTHO CUST FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6220","description":"Gauze, nonimpregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg splint, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4047","description":"Cast supplies, short leg splint, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Progressive lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2781","description":"Progressive lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Large volume nebulizer, disposable, prefilled, used with aerosol compressor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7008","description":"Large volume nebulizer, disposable, prefilled, used with aerosol compressor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, high activity knee control frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5930","description":"Addition, endoskeletal system, high activity knee control frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, flex-foot system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5980","description":"All lower extremity prostheses, flex-foot system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity orthotic, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2999","description":"Lower extremity orthotic, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom motorized/power wheelchair base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0013","description":"Custom motorized/power wheelchair base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MICROMATRIX FLEX PER MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2028","description":"MICROMATRIX FLEX PER MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5507","description":"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >34.25 & Motor <38.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0105","description":"Stroke with Motor >34.25 & Motor <38.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, insert/plate, removable, addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3031","description":"Foot, insert/plate, removable, addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, multiaxial ankle, dynamic response foot, one piece system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5979","description":"All lower extremity prostheses, multiaxial ankle, dynamic response foot, one piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0103","description":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive <18.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, band and belt, bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2640","description":"Addition to lower extremity, pelvic control, band and belt, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0220","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic eye, plastic, custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2623","description":"Prosthetic eye, plastic, custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5580","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, quadrilateral brim","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2188","description":"Addition to lower extremity fracture orthotic, quadrilateral brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STK FULL L/CHP 18-30MMHG C E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6559","description":"GD CMP STK FULL L/CHP 18-30MMHG C E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, straight knee joint, heavy-duty, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2385","description":"Addition to lower extremity, straight knee joint, heavy-duty, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, nudge control elbow lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6637","description":"Upper extremity addition, nudge control elbow lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home delivered meals, including preparation; per meal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5170","description":"Home delivered meals, including preparation; per meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Childbirth preparation/Lamaze classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9436","description":"Childbirth preparation/Lamaze classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FIXED WING AIR TRANSPORT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0430","description":"FIXED WING AIR TRANSPORT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0800","description":"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1008","description":"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8687","description":"Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8692","description":"Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, mens shoe, hightop, depth inlay, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3222","description":"Orthopedic footwear, mens shoe, hightop, depth inlay, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, full-length/chap style, 18-30 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6536","description":"Gradient compression stocking, full-length/chap style, 18-30 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0739","description":"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0261","description":"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8624","description":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into jacket vest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0810","description":"Halo procedure, cervical halo incorporated into jacket vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation or electromagnetic wound treatment device, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0769","description":"Electrical stimulation or electromagnetic wound treatment device, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2095","description":"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1907","description":"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lactation classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9443","description":"Lactation classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, hook to hand, cable adapter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6670","description":"Upper extremity addition, hook to hand, cable adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMP ARM SLV CUST MED WEIGHT EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6576","description":"GRAD CMP ARM SLV CUST MED WEIGHT EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACCES CUST GRAD SILIC BAND","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6548","description":"ACCES CUST GRAD SILIC BAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0090","description":"Nonemergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWC GP 2 STD PORT SEAT/BACK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0820","description":"PWC GP 2 STD PORT SEAT/BACK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4415","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair seat cushion, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2605","description":"Positioning wheelchair seat cushion, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, ladies shoe, hightop, depth inlay, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3217","description":"Orthopedic footwear, ladies shoe, hightop, depth inlay, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4021","description":"Cast supplies, short arm splint, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lead wires (e.g., apnea monitor), per pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557","description":"Lead wires (e.g., apnea monitor), per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehabilitation program, nonphysician provider, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9472","description":"Cardiac rehabilitation program, nonphysician provider, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1001","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen citrate, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0187","description":"Tamoxifen citrate, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Platform attachment, walker, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0154","description":"Platform attachment, walker, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, residential, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2016","description":"Habilitation, residential, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scratch resistant coating, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2760","description":"Scratch resistant coating, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3891","description":"Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, counter, plastic reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3430","description":"Heel, counter, plastic reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer bench for tub or toilet with or without commode opening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0247","description":"Transfer bench for tub or toilet with or without commode opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4189","description":"PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor >18.05 & Motor <35.95.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1902","description":"Guillian Barre with Motor >18.05 & Motor <35.95.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic wrist rotator, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7259","description":"Electronic wrist rotator, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ANK SYMES MLD PT MDL SACH FT REPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5703","description":"ANK SYMES MLD PT MDL SACH FT REPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, humeral, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3980","description":"Upper extremity fracture orthotic, humeral, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, thermoplastic type casting material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2106","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, thermoplastic type casting material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating software program, for personal computer or personal digital assistant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2511","description":"Speech generating software program, for personal computer or personal digital assistant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor, with recording feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0619","description":"Apnea monitor, with recording feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: per mile - caseworker or social worker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0160","description":"Nonemergency transportation: per mile - caseworker or social worker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWC GP 2 STD SEAT/BACK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0822","description":"PWC GP 2 STD SEAT/BACK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NOC for parenteral supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9999","description":"NOC for parenteral supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5962","description":"Addition, endoskeletal system, below knee, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5711","description":"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor, without recording feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0618","description":"Apnea monitor, without recording feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Human breast milk processing, storage and distribution only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2101","description":"Human breast milk processing, storage and distribution only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High frequency chest wall oscillation system hose, replacement for use with patient-owned equipment, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7026","description":"High frequency chest wall oscillation system hose, replacement for use with patient-owned equipment, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier; solid, 4 x 4 or equivalent; each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4362","description":"Skin barrier; solid, 4 x 4 or equivalent; each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALS routine disposable supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0398","description":"ALS routine disposable supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2611","description":"General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS THERAPY HYDRATION TX; >3 LITERS DAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9377","description":"HOME INFUS THERAPY HYDRATION TX; >3 LITERS DAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0006","description":"Heavy-duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tension based scoliosis orthotic and accessory pads, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1005","description":"Tension based scoliosis orthotic and accessory pads, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5830","description":"Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0827","description":"Power wheelchair, group 2 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin syringes (100 syringes, any size)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8490","description":"Insulin syringes (100 syringes, any size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Truss, double with standard pads","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8310","description":"Truss, double with standard pads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3960","description":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical food nutritionally complete, administered orally, providing 100% of nutritional intake","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9433","description":"Medical food nutritionally complete, administered orally, providing 100% of nutritional intake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1630","description":"Hip orthotic (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0205","description":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, manual standing system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2230","description":"Manual wheelchair accessory, manual standing system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electromyography (EMG), biofeedback device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0746","description":"Electromyography (EMG), biofeedback device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4411","description":"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Waiver services; not otherwise specified (NOS)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2025","description":"Waiver services; not otherwise specified (NOS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0183","description":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/=MYOELEC CNTRL TERM DVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/=MYOELEC CNTRL TERM DVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide, oral, 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0175","description":"Flutamide, oral, 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >49.55.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0801","description":"Replacement of lower extremity joint with Motor >49.55.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COHEALYX COL DML MX PR SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2036","description":"COHEALYX COL DML MX PR SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, shoulder abduction joint, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6640","description":"Upper extremity additions, shoulder abduction joint, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline, 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4217","description":"Sterile water/saline, 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lubricant, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4402","description":"Lubricant, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8042","description":"Orbital prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPP AND ACCES INTRAVAG PELV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0716","description":"SUPP AND ACCES INTRAVAG PELV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0504","description":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0207","description":"Traumatic brain injury with Motor <22.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM GARM NOC NIGHT USE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6519","description":"GRAD COM GARM NOC NIGHT USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor <24.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0904","description":"Other orthopedic with Motor <24.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, fixed full-length arms, without footrests or legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1171","description":"Amputee wheelchair, fixed full-length arms, without footrests or legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel and sole, neoprene, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3310","description":"Lift, elevation, heel and sole, neoprene, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve), custom made, heavy weight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8423","description":"Gradient pressure aid (sleeve), custom made, heavy weight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Needle-free injection device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4210","description":"Needle-free injection device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9214","description":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s), or pad(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0630","description":"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s), or pad(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialized childcare, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2026","description":"Specialized childcare, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mattress, innerspring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0271","description":"Mattress, innerspring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4417","description":"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5520","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infant safety (including CPR) classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9447","description":"Infant safety (including CPR) classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, sternal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1050","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, sternal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT UC; NON-DISP SUCT PUMP PER MO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6591","description":"EXT UC; NON-DISP SUCT PUMP PER MO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1860","description":"Knee orthotic (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe with needle, sterile 5 cc or greater, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4209","description":"Syringe with needle, sterile 5 cc or greater, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPL&ACC EXT UPPR LIMB TREMOR STIM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4542","description":"SUPPL&ACC EXT UPPR LIMB TREMOR STIM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UPP EXT MEC LIMB VOL LAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"ADD UPP EXT MEC LIMB VOL LAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1160","description":"Wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous catheter/tube anchoring device, adhesive skin attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5200","description":"Percutaneous catheter/tube anchoring device, adhesive skin attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4223","description":"Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT INTERFERON W/CARE COORDINATION PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9559","description":"HIT INTERFERON W/CARE COORDINATION PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Eye pad, nonsterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6411","description":"Eye pad, nonsterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), Milwaukee type superstructure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1230","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), Milwaukee type superstructure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5714","description":"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heparin infusion pump for hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1520","description":"Heparin infusion pump for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction frame, attached to headboard, cervical traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0840","description":"Traction frame, attached to headboard, cervical traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier, heated, used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0562","description":"Humidifier, heated, used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG HI DNS FM S P/250SQ CM E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6600","description":"GD CMP BDG HI DNS FM S P/250SQ CM E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6243","description":"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BD TUB PRO AB PD LY P/Y A WI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6608","description":"GD CMP BD TUB PRO AB PD LY P/Y A WI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, Oxford with supinator or pronator, child","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3202","description":"Orthopedic shoe, Oxford with supinator or pronator, child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, kyphosis pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1020","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, kyphosis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9538","description":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable external urethral clamp or compression device, with pad and/or pouch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4360","description":"Disposable external urethral clamp or compression device, with pad and/or pouch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad, moist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0215","description":"Electric heat pad, moist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor >27.85 & Motor <38.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2003","description":"Miscellaneous with Motor >27.85 & Motor <38.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy cleaning brush, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4626","description":"Tracheostomy cleaning brush, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3674","description":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age >83.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0803","description":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age >83.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9367","description":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assembly, complete, with pneumatic tire, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0071","description":"Front caster assembly, complete, with pneumatic tire, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow, BioSkin Flow, 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4162","description":"WoundEx Flow, BioSkin Flow, 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reverse osmosis water purification system, for hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1610","description":"Reverse osmosis water purification system, for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into plaster body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0820","description":"Halo procedure, cervical halo incorporated into plaster body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT UI CATH; DISP MATL SP PER MO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6590","description":"EXT UI CATH; DISP MATL SP PER MO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COMBO WALKER-TRANSPORT CHAIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0150","description":"COMBO WALKER-TRANSPORT CHAIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2615","description":"Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthotic, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0112","description":"Cranial cervical orthotic, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4630","description":"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2108","description":"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast pump, manual, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0602","description":"Breast pump, manual, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0190","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0302","description":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder flexion-abduction joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6645","description":"Upper extremity addition, shoulder flexion-abduction joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Postural drainage board","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0606","description":"Postural drainage board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAG SUP NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAG SUP NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, gear reduction drive wheel, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2227","description":"Manual wheelchair accessory, gear reduction drive wheel, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6219","description":"Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1004","description":"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOM TX HD; ADMIN PROF PHRM SRVC SPL&EQP PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9335","description":"HOM TX HD; ADMIN PROF PHRM SRVC SPL&EQP PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyurea, oral, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0176","description":"Hydroxyurea, oral, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance waiting time (ALS or BLS), one-half (1/2) hour increments","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0420","description":"Ambulance waiting time (ALS or BLS), one-half (1/2) hour increments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gravlee jet washer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4470","description":"Gravlee jet washer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphygmomanometer/blood pressure apparatus with cuff and stethoscope","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4660","description":"Sphygmomanometer/blood pressure apparatus with cuff and stethoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2392","description":"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2531","description":"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0622","description":"Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2321","description":"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence supply, rectal insert, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4337","description":"Incontinence supply, rectal insert, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4017","description":"Cast supplies, long arm splint, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3334","description":"Lift, elevation, heel, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6512","description":"Compression burn garment, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper limb orthotic, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3999","description":"Upper limb orthotic, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy ring, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4404","description":"Ostomy ring, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1007","description":"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame, attachments for complex cervical traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0948","description":"Fracture frame, attachments for complex cervical traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, variable height, hi-lo, with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0256","description":"Hospital bed, variable height, hi-lo, with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LPN/LVN services, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1003","description":"LPN/LVN services, up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"POSTOP DSG CAST CHG HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"POSTOP DSG CAST CHG HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NOC for enteral supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9998","description":"NOC for enteral supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair of orthotic device, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4205","description":"Repair of orthotic device, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7403","description":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, heavy-duty, without wheels, rigid or folding, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0148","description":"Walker, heavy-duty, without wheels, rigid or folding, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood leak detector for hemodialysis, each, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1560","description":"Blood leak detector for hemodialysis, each, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"One way chest drain valve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7040","description":"One way chest drain valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0440","description":"Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5220","description":"Above knee, short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mucus trap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8210","description":"Mucus trap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2361","description":"Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6252","description":"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training, nonfamily; per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5116","description":"Home care training, nonfamily; per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >44.25 & Motor <53.35 & Cognitive >23.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0202","description":"Traumatic brain injury with Motor >44.25 & Motor <53.35 & Cognitive >23.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9490","description":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, telephone amplifier, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5268","description":"Assistive listening device, telephone amplifier, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Homemaker service, NOS; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5130","description":"Homemaker service, NOS; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STCK B KNEE 40MMHG OR<CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6555","description":"GD CMP STCK B KNEE 40MMHG OR<CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use CPT code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1030","description":"Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use CPT code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Companion care, adult (e.g., IADL/ADL); per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5135","description":"Companion care, adult (e.g., IADL/ADL); per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2314","description":"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0506","description":"Non-traumatic spinal cord injury with Motor <23.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6205","description":"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, silicone or equal, with integral adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8031","description":"Breast prosthesis, silicone or equal, with integral adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bath/shower chair, with or without wheels, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0240","description":"Bath/shower chair, with or without wheels, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4159","description":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALL LW EXT PROS SACH FOOT REPL ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5971","description":"ALL LW EXT PROS SACH FOOT REPL ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REPLACEMENT BREASTPUMP VALVE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4288","description":"REPLACEMENT BREASTPUMP VALVE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning seat for persons with special orthopedic needs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T5001","description":"Positioning seat for persons with special orthopedic needs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHR TRANSIT SECUREMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1023","description":"WHEELCHR TRANSIT SECUREMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, foam propulsion tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2218","description":"Manual wheelchair accessory, foam propulsion tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular, (myodisc), per lens, trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2315","description":"Lenticular, (myodisc), per lens, trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, single pivot hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6605","description":"Upper extremity additions, single pivot hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIRO3D FIBERS PER MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2030","description":"MIRO3D FIBERS PER MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement measuring scales for jaw motion rehabilitation system, package of 200","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1702","description":"Replacement measuring scales for jaw motion rehabilitation system, package of 200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >51.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0101","description":"Stroke with Motor >51.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2212","description":"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, molded socket, ankle height, with toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5010","description":"Partial foot, molded socket, ankle height, with toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG TUB PRO ABS LY P/Y ANY W","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6607","description":"GD CMP BDG TUB PRO ABS LY P/Y ANY W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9366","description":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemostats, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1637","description":"Hemostats, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fully-reclining wheelchair, detachable arms, desk or full-length, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1060","description":"Fully-reclining wheelchair, detachable arms, desk or full-length, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor >26.75 & Motor <37.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1602","description":"Pain syndrome with Motor >26.75 & Motor <37.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, bodysuit (head to foot), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6501","description":"Compression burn garment, bodysuit (head to foot), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0808","description":"Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIOBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2043","description":"BIOBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, molded shoe, Plastazote (or similar), custom fitted, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3253","description":"Foot, molded shoe, Plastazote (or similar), custom fitted, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, elbow disarticulation or above elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6682","description":"Upper extremity addition, test socket, elbow disarticulation or above elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8460","description":"Prosthetic shrinker, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2376","description":"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE FORK STRAP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5684","description":"ADD LOW EXTREM BELW KNEE FORK STRAP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, offset knee joint, heavy-duty, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2395","description":"Addition to lower extremity, offset knee joint, heavy-duty, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, recline only, with power shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1005","description":"Wheelchair accessory, power seating system, recline only, with power shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to terminal device, precision pinch device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6810","description":"Addition to terminal device, precision pinch device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Photorefractive keratectomy (PRK)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0810","description":"Photorefractive keratectomy (PRK)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair with fixed arm, elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1222","description":"Wheelchair with fixed arm, elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ground mileage, per statute mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425","description":"Ground mileage, per statute mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0105","description":"Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthotic (LSO), full corset","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0976","description":"Lumbar-sacral orthotic (LSO), full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8629","description":"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >44.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0901","description":"Other orthopedic with Motor >44.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bedside rails, full-length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0310","description":"Bedside rails, full-length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8055","description":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5848","description":"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNICORE PRO+ PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4299","description":"AMNICORE PRO+ PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special wheelchair seat height from floor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1296","description":"Special wheelchair seat height from floor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONSHEET FORM SKIN SUB AS DEVC NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4100","description":"NONSHEET FORM SKIN SUB AS DEVC NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5969","description":"Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2206","description":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, pad and depression for spur","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3480","description":"Heel, pad and depression for spur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0426","description":"Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1906","description":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tacrine HCl, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0014","description":"Tacrine HCl, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, flexible keel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5972","description":"All lower extremity prostheses, foot, flexible keel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, television amplifier, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5270","description":"Assistive listening device, television amplifier, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3912","description":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute (Integra Meshed Bilayer Wound Matrix), per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9363","description":"Skin substitute (Integra Meshed Bilayer Wound Matrix), per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinary catheter anchoring device, adhesive skin attachment, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4333","description":"Urinary catheter anchoring device, adhesive skin attachment, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, fixed height, with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0251","description":"Hospital bed, fixed height, with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0138","description":"Finasteride, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0400","description":"Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enlargement of ocular prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2625","description":"Enlargement of ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6400","description":"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >47.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0601","description":"Neurological with Motor >47.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >44.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0901","description":"Other orthopedic with Motor >44.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound pouch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6154","description":"Wound pouch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, hightop with supinator or pronator, child","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3206","description":"Orthopedic shoe, hightop with supinator or pronator, child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, semi-rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2134","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, semi-rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disease management program; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0317","description":"Disease management program; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9432","description":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wellness assessment, performed by nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5190","description":"Wellness assessment, performed by nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assisted living, waiver; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2030","description":"Assisted living, waiver; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0638","description":"Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DNA analysis of the connexin 26 gene (GJB2) for susceptibility to congenital, profound deafness","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3844","description":"DNA analysis of the connexin 26 gene (GJB2) for susceptibility to congenital, profound deafness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch substitute, lower leg platform, with or without wheels, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0118","description":"Crutch substitute, lower leg platform, with or without wheels, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with motor score from 12 - 35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1304","description":"Rheumatoid, other arthritis with motor score from 12 - 35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, chin cup for chin control interface","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2324","description":"Power wheelchair accessory, chin cup for chin control interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair, fixed full-length arms, swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1285","description":"Heavy-duty wheelchair, fixed full-length arms, swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High strength, lightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0004","description":"High strength, lightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9999","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, monaural hearing aid, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5241","description":"Dispensing fee, monaural hearing aid, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bottle with or without tubing, rigid or expandable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5102","description":"Bedside drainage bottle with or without tubing, rigid or expandable, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4149","description":"ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD CMP STK BLW KNEE 30-40MM HG SRG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6531","description":"GRD CMP STK BLW KNEE 30-40MM HG SRG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, Thomas extended to ball","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3470","description":"Heel, Thomas extended to ball","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose monitor with integrated lancing/blood sample","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2101","description":"Blood glucose monitor with integrated lancing/blood sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing new spectacle lenses for patient supplied frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0595","description":"Dispensing new spectacle lenses for patient supplied frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Outflare wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3390","description":"Outflare wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chest shell (cuirass)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0457","description":"Chest shell (cuirass)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Delivery and/or installation charges for hemodialysis equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1600","description":"Delivery and/or installation charges for hemodialysis equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel and sole, cork, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3320","description":"Lift, elevation, heel and sole, cork, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Laser-assisted uvulopalatoplasty (LAUP)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2080","description":"Laser-assisted uvulopalatoplasty (LAUP)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3350","description":"Heel wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2370","description":"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stomach tube - Levine type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4083","description":"Stomach tube - Levine type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4034","description":"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"O DVC/APPL NM ELECT STIM TNG MUSC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0491","description":"O DVC/APPL NM ELECT STIM TNG MUSC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; stretcher van","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2005","description":"Nonemergency transportation; stretcher van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Not medically necessary service (patient is aware that service not medically necessary)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9986","description":"Not medically necessary service (patient is aware that service not medically necessary)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALS specialized service disposable supplies; esophageal intubation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0396","description":"ALS specialized service disposable supplies; esophageal intubation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserved embryo transfer, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4037","description":"Cryopreserved embryo transfer, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, powder, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4371","description":"Ostomy skin barrier, powder, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0467","description":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor >23.05 & Motor <40.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1802","description":"Major multiple trauma with brain or spinal cord injury with Motor >23.05 & Motor <40.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADNT COMPR GRMNT BRA NIGHT USE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6528","description":"GRADNT COMPR GRMNT BRA NIGHT USE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program, group session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9455","description":"Diabetic management program, group session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, medial opening socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5636","description":"Addition to lower extremity, Symes type, medial opening socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6026","description":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket, outside locking hinge, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6200","description":"Elbow disarticulation, molded socket, outside locking hinge, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4428","description":"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTRFC ABV KNEE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2830","description":"ADD LW EXT ORTH SFT INTRFC ABV KNEE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg splint, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4043","description":"Cast supplies, long leg splint, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 34 nonsealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2358","description":"Power wheelchair accessory, group 34 nonsealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HO BI THIGHCUFFS W SPRDR BAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1652","description":"HO BI THIGHCUFFS W SPRDR BAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services of a qualified nursing aide, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1004","description":"Services of a qualified nursing aide, up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ganirelix acetate, 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0132","description":"Injection, ganirelix acetate, 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0861","description":"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace nonmolded calf lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4055","description":"Replace nonmolded calf lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2382","description":"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2312","description":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SOCKET INSERT W LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5673","description":"SOCKET INSERT W LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RX D VIS TX SW-ONLY FDA CL Q CRS TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9292","description":"RX D VIS TX SW-ONLY FDA CL Q CRS TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5818","description":"Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2403","description":"Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"OMEZA COLLAG COMPL 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2014","description":"OMEZA COLLAG COMPL 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5540","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6715","description":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIOBRANE GLOVE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2044","description":"BIOBRANE GLOVE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0303","description":"Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 very heavy-duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0860","description":"Power wheelchair, group 3 very heavy-duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT CSTM INSRT NO CNGN/TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5683","description":"ADD LW EXT CSTM INSRT NO CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0601","description":"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, below knee, 18-30 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530","description":"Gradient compression stocking, below knee, 18-30 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, binaural, ITE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5260","description":"Hearing aid, digital, binaural, ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0885","description":"Power wheelchair, group 4 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2310","description":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4595","description":"Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasogastric tubing without stylet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4082","description":"Nasogastric tubing without stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter, disposable, used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7038","description":"Filter, disposable, used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0831","description":"Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REVOSHIELD+ AMNIOTIC BARR PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4289","description":"REVOSHIELD+ AMNIOTIC BARR PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin beta, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0128","description":"Injection, follitropin beta, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Asthma education, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9441","description":"Asthma education, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2209","description":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0302","description":"Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (2-piece system), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4425","description":"Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (2-piece system), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable contact lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0500","description":"Disposable contact lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >40.15 & Motor <51.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0502","description":"Non-traumatic spinal cord injury with Motor >40.15 & Motor <51.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3761","description":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6236","description":"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ratchet assembly, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0050","description":"Ratchet assembly, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation supply; bag, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4398","description":"Ostomy irrigation supply; bag, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic donning sleeve, any material, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7600","description":"Prosthetic donning sleeve, any material, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pillow for use on nasal cannula type interface, replacement only, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7033","description":"Pillow for use on nasal cannula type interface, replacement only, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GLOVE CUST HVY WT EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6580","description":"GRADIENT COMPR GLOVE CUST HVY WT EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gel or gel-like pressure pad for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0185","description":"Gel or gel-like pressure pad for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0107","description":"Stroke with Motor >26.15 & Motor <30.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"U-V lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2755","description":"U-V lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift mechanism placed over or on top of toilet, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0172","description":"Seat lift mechanism placed over or on top of toilet, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114","description":"Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (HCM) in an individual with a known HCM mutation in the family","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3866","description":"Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (HCM) in an individual with a known HCM mutation in the family","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0857","description":"Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD PWR JOYSTICK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0983","description":"ADD PWR JOYSTICK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Monitoring and storage of cryopreserved embryos, per 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4040","description":"Monitoring and storage of cryopreserved embryos, per 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2377","description":"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, soft interface material, static AFO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4392","description":"Replacement, soft interface material, static AFO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, hydrophilic, toric, or prism ballast, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2521","description":"Contact lens, hydrophilic, toric, or prism ballast, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >44.25 & Cognitive <23.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0203","description":"Traumatic brain injury with Motor >44.25 & Cognitive <23.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical dressing holder, reusable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4463","description":"Surgical dressing holder, reusable, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), spring wire, dorsiflexion assist calf band, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1900","description":"Ankle-foot orthotic (AFO), spring wire, dorsiflexion assist calf band, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AC5 ADVANCED WOUND SYSTEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2020","description":"AC5 ADVANCED WOUND SYSTEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement bulb for therapeutic light box, tabletop model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4634","description":"Replacement bulb for therapeutic light box, tabletop model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, nonstandard seat frame depth, 22-25 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2343","description":"Power wheelchair accessory, nonstandard seat frame depth, 22-25 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >28.15 & Motor <34.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0703","description":"Fracture of lower extremity with Motor >28.15 & Motor <34.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5814","description":"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalist services (list separately in addition to code for appropriate evaluation and management service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0310","description":"Hospitalist services (list separately in addition to code for appropriate evaluation and management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, tibial length sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2840","description":"Addition to lower extremity orthotic, tibial length sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, ventilator tray, fixed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1029","description":"Wheelchair accessory, ventilator tray, fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >31.25 & Motor <40.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0503","description":"Non-traumatic spinal cord injury with Motor >31.25 & Motor <40.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5985","description":"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Color contact lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0514","description":"Color contact lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2305","description":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >37.35 & Motor <47.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0602","description":"Neurological with Motor >37.35 & Motor <47.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2390","description":"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other scoliosis procedure, body jacket molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1300","description":"Other scoliosis procedure, body jacket molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4355","description":"Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2508","description":"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0672","description":"Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap; foam or fabric, replacement only, per set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5114","description":"Leg strap; foam or fabric, replacement only, per set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteogenesis stimulator, electrical, noninvasive, other than spinal applications","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0747","description":"Osteogenesis stimulator, electrical, noninvasive, other than spinal applications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5780","description":"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthotic)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3224","description":"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen contents, gaseous, 1 unit equals 1 cubic foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8120","description":"Oxygen contents, gaseous, 1 unit equals 1 cubic foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Anastrozole, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0170","description":"Anastrozole, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe, sterile, 20 cc or greater, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4213","description":"Syringe, sterile, 20 cc or greater, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor >35.95.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1901","description":"Guillian Barre with Motor >35.95.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6237","description":"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ossicula implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8613","description":"Ossicula implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, external keel, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5970","description":"All lower extremity prostheses, foot, external keel, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubing used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7037","description":"Tubing used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1100","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical home program, comprehensive care coordination and planning, maintenance of plan","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0281","description":"Medical home program, comprehensive care coordination and planning, maintenance of plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1140","description":"Wheelchair, detachable arms, desk or full-length, swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0136","description":"Clozapine, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, split flat caliper stirrups and plate attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2230","description":"Addition to lower extremity, split flat caliper stirrups and plate attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services by a journal-listed Christian Science nurse, per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9901","description":"Services by a journal-listed Christian Science nurse, per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, binaural","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5160","description":"Dispensing fee, binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact wound-warming device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0231","description":"Noncontact wound-warming device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity prosthesis, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5999","description":"Lower extremity prosthesis, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, anterior swing band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2335","description":"Addition to lower extremity, anterior swing band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, trunk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0656","description":"Segmental pneumatic appliance for use with pneumatic compressor, trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Phototherapeutic keratectomy (PTK)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0812","description":"Phototherapeutic keratectomy (PTK)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate concentrate, solution, for hemodialysis, per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4706","description":"Bicarbonate concentrate, solution, for hemodialysis, per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0446","description":"Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Binaural, in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5130","description":"Binaural, in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1503","description":"Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHAIR JOYSTICK DRIVE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1032","description":"WHEELCHAIR JOYSTICK DRIVE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8440","description":"Prosthetic shrinker, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8001","description":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1240","description":"Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7048","description":"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NMES DISP REPLC ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4560","description":"NMES DISP REPLC ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray without drainage bag and without catheter (accessories only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4310","description":"Insertion tray without drainage bag and without catheter (accessories only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6212","description":"Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD CMP STCK B KNEE 40 MMHG OR<  EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6554","description":"GRD CMP STCK B KNEE 40 MMHG OR<  EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for alpha-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3845","description":"Genetic testing for alpha-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, reusable pen; 1.5 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5560","description":"Insulin delivery device, reusable pen; 1.5 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap, H style, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0039","description":"Leg strap, H style, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PS&CEU O DVC/APP NM EL ST TNG MUSC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0490","description":"PS&CEU O DVC/APP NM EL ST TNG MUSC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, child, Variety Village or equal, myoelectronically controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7191","description":"Electronic elbow, child, Variety Village or equal, myoelectronically controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, longitudinal arch support, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3010","description":"Foot insert, removable, molded to patient model, longitudinal arch support, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paramedic intercept, hospital-based ALS service (nonvoluntary), nontransport","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0208","description":"Paramedic intercept, hospital-based ALS service (nonvoluntary), nontransport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, analog, monaural, CIC (completely in the ear canal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5242","description":"Hearing aid, analog, monaural, CIC (completely in the ear canal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Childbirth refresher classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9437","description":"Childbirth refresher classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEUROMOD ADJ REHAB MOUTHPIECE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4594","description":"NEUROMOD ADJ REHAB MOUTHPIECE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen based wound filler, gel/paste, per g of collagen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6011","description":"Collagen based wound filler, gel/paste, per g of collagen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"General use wheelchair seat cushion, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2601","description":"General use wheelchair seat cushion, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4253","description":"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPL ACCESSOR TIBIAL STIM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4545","description":"SUPPL ACCESSOR TIBIAL STIM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor <27.85, comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2004","description":"Miscellaneous with Motor <27.85, comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0783","description":"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Leg extensions for walker, per set of 4","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0158","description":"Leg extensions for walker, per set of 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight portable motorized/power wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0012","description":"Lightweight portable motorized/power wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1232","description":"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, free motion, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3720","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, free motion, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular (myodisc), per lens, bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2215","description":"Lenticular (myodisc), per lens, bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6234","description":"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2104","description":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, mens shoe, depth inlay, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3221","description":"Orthopedic footwear, mens shoe, depth inlay, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"In vitro fertilization procedure cancelled after aspiration, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4021","description":"In vitro fertilization procedure cancelled after aspiration, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transplant related lodging, meals and transportation, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9975","description":"Transplant related lodging, meals and transportation, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2375","description":"Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4338","description":"Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective brief/diaper, above extra large, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4543","description":"Adult sized disposable incontinence product, protective brief/diaper, above extra large, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, hemipelvectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5628","description":"Addition to lower extremity, test socket, hemipelvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into Milwaukee type orthotic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0830","description":"Halo procedure, cervical halo incorporated into Milwaukee type orthotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Family training and counseling for child development, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1027","description":"Family training and counseling for child development, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AIR POLYMER FOAM PER STUDY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4024","description":"AIR POLYMER FOAM PER STUDY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0431","description":"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable, binaural, ITE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5252","description":"Hearing aid, digitally programmable, binaural, ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens, per lens, single","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2121","description":"Lenticular lens, per lens, single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0859","description":"Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2861","description":"Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4418","description":"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Acid concentrate, solution, for hemodialysis, per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4709","description":"Acid concentrate, solution, for hemodialysis, per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMPR STK WAIST L 30-40MMHG CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6563","description":"GD CMPR STK WAIST L 30-40MMHG CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen probe for use with oximeter device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4606","description":"Oxygen probe for use with oximeter device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover or solvent (for tape, cement or other adhesive), per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4455","description":"Adhesive remover or solvent (for tape, cement or other adhesive), per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Finger orthotic, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3935","description":"Finger orthotic, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Swingaway, detachable footrests, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0052","description":"Swingaway, detachable footrests, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable elbow extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1800","description":"Dynamic adjustable elbow extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, lift loop for drop lock ring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2492","description":"Addition to knee joint, lift loop for drop lock ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357","description":"Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALS specialized service disposable supplies; IV drug therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0394","description":"ALS specialized service disposable supplies; IV drug therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; mileage, per mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0215","description":"Nonemergency transportation; mileage, per mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, solid stirrup, existing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3620","description":"Transfer of an orthosis from one shoe to another, solid stirrup, existing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bath conductivity meter for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1550","description":"Bath conductivity meter for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0692","description":"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4048","description":"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0070","description":"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport; commercial carrier, multipass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2004","description":"Nonemergency transport; commercial carrier, multipass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing service, miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5299","description":"Hearing service, miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8999","description":"Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive intrauterine device (e.g., Progestacert IUD), including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4989","description":"Contraceptive intrauterine device (e.g., Progestacert IUD), including implants and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wig, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9282","description":"Wig, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHIRLPOOL TUB WALK-IN PORTABLE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1301","description":"WHIRLPOOL TUB WALK-IN PORTABLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infrared heating pad system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0221","description":"Infrared heating pad system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0320","description":"Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, thigh length, 30-40 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6534","description":"Gradient compression stocking, thigh length, 30-40 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home modifications; per service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5165","description":"Home modifications; per service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program, follow-up visit to non-MD provider","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9140","description":"Diabetic management program, follow-up visit to non-MD provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >49.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1501","description":"Pulmonary with Motor >49.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5450","description":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lancets, per box of 100","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4259","description":"Lancets, per box of 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefoperazone sodium, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0021","description":"Injection, cefoperazone sodium, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy care kit for new tracheostomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4625","description":"Tracheostomy care kit for new tracheostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assisted oocyte fertilization, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4022","description":"Assisted oocyte fertilization, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, for use on faceplate, plastic, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4377","description":"Ostomy pouch, drainable, for use on faceplate, plastic, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, hydrophilic, bifocal, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2522","description":"Contact lens, hydrophilic, bifocal, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen accessory, DC power adapter for portable concentrator, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1358","description":"Oxygen accessory, DC power adapter for portable concentrator, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulse generator system for tympanic treatment of inner ear endolymphatic fluid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2120","description":"Pulse generator system for tympanic treatment of inner ear endolymphatic fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Performance measurement, evaluation of patient self assessment, depression","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3005","description":"Performance measurement, evaluation of patient self assessment, depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal vitamins, 30-day supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0197","description":"Prenatal vitamins, 30-day supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD PWR TILLER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0984","description":"ADD PWR TILLER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP AK CUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6611","description":"GRAD COM WRAP W STRAP AK CUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair, mobile or stationary, with detachable arms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0165","description":"Commode chair, mobile or stationary, with detachable arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Colistimethate sodium, inhalation solution administered through DME, concentrated form, per mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0142","description":"Colistimethate sodium, inhalation solution administered through DME, concentrated form, per mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6684","description":"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier; solid, 6 x 6 or equivalent, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5121","description":"Skin barrier; solid, 6 x 6 or equivalent, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction stand, freestanding, pelvic traction (e.g., Buck's)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0900","description":"Traction stand, freestanding, pelvic traction (e.g., Buck's)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MULTIAX ROTATION ATTACHMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6038","description":"MULTIAX ROTATION ATTACHMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2351","description":"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5498","description":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stress management classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9454","description":"Stress management classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, educational, waiver; per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2013","description":"Habilitation, educational, waiver; per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, caster fork, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2226","description":"Manual wheelchair accessory, caster fork, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, seat lift mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0985","description":"Wheelchair accessory, seat lift mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, felt covered with leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3520","description":"Orthopedic shoe addition, insole, felt covered with leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAFIX CORE & GRAFIXPL CORE-SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4132","description":"GRAFIX CORE & GRAFIXPL CORE-SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor <31.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1404","description":"Cardiac with Motor <31.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive pills for birth control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4993","description":"Contraceptive pills for birth control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4007","description":"Cast supplies, long arm cast, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthotic), without knee joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2030","description":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthotic), without knee joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4410","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0207","description":"Traumatic brain injury with Motor <22.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL AMINO ACID&CARB STRSS-BR CHAIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B5200","description":"PARNTRAL NUT SOL AMINO ACID&CARB STRSS-BR CHAIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2330","description":"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6638","description":"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9360","description":"Dermal substitute, native, nondenatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sole wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3370","description":"Sole wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1980","description":"Ankle-foot orthotic (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5859","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5647","description":"Addition to lower extremity, below knee, suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KO ELAS W/CONDYLE PADS OTF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1821","description":"KO ELAS W/CONDYLE PADS OTF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GAIT MOD SYSTM RHYM AUDITORY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3200","description":"GAIT MOD SYSTM RHYM AUDITORY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Residual limb support system for wheelchair, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1020","description":"Residual limb support system for wheelchair, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier, nonheated, used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0561","description":"Humidifier, nonheated, used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EPICORD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4187","description":"EPICORD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2320","description":"Trifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer, sterile, more than 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6208","description":"Contact layer, sterile, more than 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee or hip disarticulation, alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5920","description":"Addition, endoskeletal system, above knee or hip disarticulation, alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CTLSO A P L CONTROL CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0720","description":"CTLSO A P L CONTROL CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulation clinic, inclusive of all services except laboratory tests, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9401","description":"Anticoagulation clinic, inclusive of all services except laboratory tests, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unidentified code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1920","description":"Unidentified code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, passive restoration (complete prosthesis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6310","description":"Shoulder disarticulation, passive restoration (complete prosthesis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dysphagia screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5364","description":"Dysphagia screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, plastic shoe insert with ankle joints","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2180","description":"Addition to lower extremity fracture orthotic, plastic shoe insert with ankle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infection control supplies, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8301","description":"Infection control supplies, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2313","description":"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX PD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2023","description":"INNOVAMATRIX PD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST TOE FLEXION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1829","description":"ADJUST TOE FLEXION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor >37.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1201","description":"Osteoarthritis with Motor >37.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent urinary catheter, with insertion supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353","description":"Intermittent urinary catheter, with insertion supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0552","description":"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioFlo, 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4177","description":"FlowerAmnioFlo, 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical supply; miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4649","description":"Surgical supply; miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis equipment, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1699","description":"Dialysis equipment, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, glove to elbow, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6505","description":"Compression burn garment, glove to elbow, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PENILE CONTRACTUR DEVIC MANU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0201","description":"PENILE CONTRACTUR DEVIC MANU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Back, contoured, for pediatric size wheelchair including fixed attaching hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2293","description":"Back, contoured, for pediatric size wheelchair including fixed attaching hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Toe loop/holder, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0952","description":"Toe loop/holder, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tissue marker, implantable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4648","description":"Tissue marker, implantable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continent device; catheter for continent stoma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5082","description":"Continent device; catheter for continent stoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor <30.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1203","description":"Osteoarthritis with Motor <30.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6707","description":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; with barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5071","description":"Ostomy pouch, urinary; with barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, SACH cushion type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3450","description":"Heel, SACH cushion type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin piercing device for collection of capillary blood, laser, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0620","description":"Skin piercing device for collection of capillary blood, laser, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing device, monaural, in the ear (ite)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5171","description":"Hearing aid, contralateral routing device, monaural, in the ear (ite)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vaporizer, room type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0605","description":"Vaporizer, room type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TABLO HEMO SYS BILLABLE DIALYSIS SV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1629","description":"TABLO HEMO SYS BILLABLE DIALYSIS SV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift mechanism, electric, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0627","description":"Seat lift mechanism, electric, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MED INDUCED AB ORAL INGESTION MED W/SRVC & SPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0199","description":"MED INDUCED AB ORAL INGESTION MED W/SRVC & SPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bed accessory: board, table, or support device, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0315","description":"Bed accessory: board, table, or support device, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen based wound filler, dry form, sterile, per g of collagen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6010","description":"Collagen based wound filler, dry form, sterile, per g of collagen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2425","description":"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, expandable wall socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5630","description":"Addition to lower extremity, Symes type, expandable wall socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foster care, adult; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5141","description":"Foster care, adult; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Levamisole HCl, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0177","description":"Levamisole HCl, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fistula cannulation set for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4730","description":"Fistula cannulation set for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents, gaseous, 1 month's supply = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0443","description":"Portable oxygen contents, gaseous, 1 month's supply = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training, family; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5110","description":"Home care training, family; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0221","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Venous pressure clamp, for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4918","description":"Venous pressure clamp, for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5614","description":"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Completed early periodic screening diagnosis and treatment (EPSDT) service (list in addition to code for appropriate evaluation and management service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0302","description":"Completed early periodic screening diagnosis and treatment (EPSDT) service (list in addition to code for appropriate evaluation and management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2308","description":"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Truss, addition to standard pad, scrotal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8330","description":"Truss, addition to standard pad, scrotal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, disposable pen (including insulin); 1.5 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5570","description":"Insulin delivery device, disposable pen (including insulin); 1.5 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal bar wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3410","description":"Metatarsal bar wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular (myodisc), per lens, single vision","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2115","description":"Lenticular (myodisc), per lens, single vision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8612","description":"Aqueous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for retinoblastoma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3841","description":"Genetic testing for retinoblastoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1017","description":"Heavy-duty shock absorber for heavy-duty or extra heavy-duty manual wheelchair, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5510","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0826","description":"Power wheelchair, group 2 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Splint, prefabricated, wrist or ankle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8451","description":"Splint, prefabricated, wrist or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDRLAY/PAD ALT PUMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0183","description":"PWR PRESS RDUC UNDRLAY/PAD ALT PUMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricated wheelchair back cushion, any size, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2617","description":"Custom fabricated wheelchair back cushion, any size, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6238","description":"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: ancillary: meals, escort","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0210","description":"Nonemergency transportation: ancillary: meals, escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External ambulatory infusion pump, insulin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784","description":"External ambulatory infusion pump, insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral interface used with respiratory suction pump, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7047","description":"Oral interface used with respiratory suction pump, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2371","description":"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6350","description":"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5341","description":"Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0265","description":"Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Topical anesthetic, for dialysis, per g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4736","description":"Topical anesthetic, for dialysis, per g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water seal drainage container and tubing for use with implanted chest tube","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7041","description":"Water seal drainage container and tubing for use with implanted chest tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3962","description":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0119","description":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor >30.75 & Motor <37.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1202","description":"Osteoarthritis with Motor >30.75 & Motor <37.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4429","description":"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ABVE ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6955","description":"ABVE ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4044","description":"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair, adult size, heavy-duty, patient weight capacity greater than 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1039","description":"Transport chair, adult size, heavy-duty, patient weight capacity greater than 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot, each, child","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3209","description":"Surgical boot, each, child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention mental health services, per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9484","description":"Crisis intervention mental health services, per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Centrifuge, for dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1500","description":"Centrifuge, for dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Occluder lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2770","description":"Occluder lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, diaper/brief, reusable, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4539","description":"Incontinence product, diaper/brief, reusable, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9336","description":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, monaural, ITE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5256","description":"Hearing aid, digital, monaural, ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2036","description":"Knee-ankle-foot orthotic (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with faceplate attached, plastic, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4375","description":"Ostomy pouch, drainable, with faceplate attached, plastic, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0432","description":"Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4150","description":"ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5014","description":"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0973","description":"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0856","description":"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4051","description":"Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJ CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJ CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2900","description":"Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty bifocal (by report)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2299","description":"Specialty bifocal (by report)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program, dietitian visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9465","description":"Diabetic management program, dietitian visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: ancillary: lodging, escort","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0200","description":"Nonemergency transportation: ancillary: lodging, escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, gas permeable, toric, prism ballast, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2511","description":"Contact lens, gas permeable, toric, prism ballast, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NOVOSORB SYNPATH DERML MATRIX SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2006","description":"NOVOSORB SYNPATH DERML MATRIX SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, custom shoe, depth inlay, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3230","description":"Orthopedic footwear, custom shoe, depth inlay, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4766","description":"Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS+ DUO PR SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2041","description":"FOUNDATION DRS+ DUO PR SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUNG EXPANS HIGH OSCIL NEB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0469","description":"LUNG EXPANS HIGH OSCIL NEB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MXDISCPLIN SRVC CHD CMPLX IMPAIR HR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1026","description":"MXDISCPLIN SRVC CHD CMPLX IMPAIR HR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4312","description":"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTH S-C CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1007","description":"SCOLIOSIS ORTH S-C CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Expired, not orthopedic, length of stay is 15 days or fewer.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5103","description":"Expired, not orthopedic, length of stay is 15 days or fewer.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TENSIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4146","description":"TENSIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interim labor facility global (labor occurring but not resulting in delivery)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4005","description":"Interim labor facility global (labor occurring but not resulting in delivery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELECTRO CONNECT BTW 2 SYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2311","description":"ELECTRO CONNECT BTW 2 SYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2622","description":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Female external urinary collection device; pouch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4328","description":"Female external urinary collection device; pouch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control belt, padded and lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5694","description":"Addition to lower extremity, above knee, pelvic control belt, padded and lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, transmitter microphone, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5290","description":"Assistive listening device, transmitter microphone, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4233","description":"Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADDITION ENDOSKLETAL KNEE-SHIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5841","description":"ADDITION ENDOSKLETAL KNEE-SHIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air mileage, per statute mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0436","description":"Rotary wing air mileage, per statute mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IP FNGR JNT REPLCMT 2/MORE PECES METL CERAM-LIKE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8659","description":"IP FNGR JNT REPLCMT 2/MORE PECES METL CERAM-LIKE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor <29.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1504","description":"Pulmonary with Motor <29.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of adductor muscle(s) of vocal cord","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2341","description":"Chemodenervation of adductor muscle(s) of vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter; external, for use with interstitial continuous glucose monitoring system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9277","description":"Transmitter; external, for use with interstitial continuous glucose monitoring system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3924","description":"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging (MRI), low-field","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8042","description":"Magnetic resonance imaging (MRI), low-field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder lock mechanism, body powered actuator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6647","description":"Upper extremity addition, shoulder lock mechanism, body powered actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with metatarsal bar, per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5505","description":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with metatarsal bar, per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary oxygen contents, liquid, 1 month's supply = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0442","description":"Stationary oxygen contents, liquid, 1 month's supply = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Short-stay cases, length of stay is 3 days or fewer.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5001","description":"Short-stay cases, length of stay is 3 days or fewer.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REP INTERFACE HANDFNG MOLDED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6031","description":"REP INTERFACE HANDFNG MOLDED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2616","description":"Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6196","description":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Family stabilization services, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9482","description":"Family stabilization services, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compressor, nonsegmental home model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0650","description":"Pneumatic compressor, nonsegmental home model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 0.01%, 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0157","description":"Becaplermin gel 0.01%, 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RESOLVE OR XENOPATCH SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2024","description":"RESOLVE OR XENOPATCH SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STR FU LE CU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6515","description":"GRAD COM WRAP W STR FU LE CU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Financial management, self-directed, waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2040","description":"Financial management, self-directed, waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor >18.05 & Motor <35.95.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1902","description":"Guillian Barre with Motor >18.05 & Motor <35.95.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, ladies shoe, oxford, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3215","description":"Orthopedic footwear, ladies shoe, oxford, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Corrugated tubing, disposable, used with large volume nebulizer, 100 ft","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7010","description":"Corrugated tubing, disposable, used with large volume nebulizer, 100 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose and 0.45% normal saline, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5010","description":"5% dextrose and 0.45% normal saline, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BRST RECON 1 BRST DIEP FLAP(S)&/GAP FLAP(S) UNI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2067","description":"BRST RECON 1 BRST DIEP FLAP(S)&/GAP FLAP(S) UNI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0302","description":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0805","description":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, trilateral, (Tachdijan type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1720","description":"Legg Perthes orthotic, trilateral, (Tachdijan type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor <23.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1803","description":"Major multiple trauma with brain or spinal cord injury with Motor <23.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTRAVAG PELVIC FLOOR KEGEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0715","description":"INTRAVAG PELVIC FLOOR KEGEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Semi-reclining wheelchair, detachable arms (desk or full-length) elevating legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1110","description":"Semi-reclining wheelchair, detachable arms (desk or full-length) elevating legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPRA SDRM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2011","description":"SUPRA SDRM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5940","description":"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foster care, therapeutic, child; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5145","description":"Foster care, therapeutic, child; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, tray, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0950","description":"Wheelchair accessory, tray, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, round caliper and plate attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2240","description":"Addition to lower extremity, round caliper and plate attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, passive restoration (complete prosthesis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6360","description":"Interscapular thoracic, passive restoration (complete prosthesis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9503","description":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6228","description":"Gauze, impregnated, water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5795","description":"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Calibrated microcapillary tube, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4651","description":"Calibrated microcapillary tube, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (glove), custom made, heavy weight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8426","description":"Gradient pressure aid (glove), custom made, heavy weight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8047","description":"Nasal septal prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, hip disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5626","description":"Addition to lower extremity, test socket, hip disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, for unlisted types and materials of casts","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4050","description":"Cast supplies, for unlisted types and materials of casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MEC ALLRG PRT BAR/INH FILT CR NAS T","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7023","description":"MEC ALLRG PRT BAR/INH FILT CR NAS T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5501","description":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies (e.g., plaster)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4580","description":"Cast supplies (e.g., plaster)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat attachment, walker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0156","description":"Seat attachment, walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator pulse generator, single array, rechargeable, includes extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8685","description":"Implantable neurostimulator pulse generator, single array, rechargeable, includes extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0202","description":"Traumatic brain injury with Motor >44.25 & Motor <53.35 & Cognitive >23.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8621","description":"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1650","description":"Hip orthotic (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition infusion pump, stationary","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9006","description":"Parenteral nutrition infusion pump, stationary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pump for alternating pressure pad, for replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0182","description":"Pump for alternating pressure pad, for replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEUROMOD STIM SYS ADJ REHAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4593","description":"NEUROMOD STIM SYS ADJ REHAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, most rapid onset (Lispro or Aspart); 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5551","description":"Insulin, most rapid onset (Lispro or Aspart); 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0665","description":"Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, pelvic joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5696","description":"Addition to lower extremity, above knee or knee disarticulation, pelvic joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, crutch and cane holder, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2207","description":"Wheelchair accessory, crutch and cane holder, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral thermometer, reusable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4931","description":"Oral thermometer, reusable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respite care, not hospice; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5150","description":"Unskilled respite care, not hospice; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, educational; waiver, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2012","description":"Habilitation, educational; waiver, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable endoscope sheath, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4270","description":"Disposable endoscope sheath, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infusion pump, stationary, single, or multichannel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0791","description":"Parenteral infusion pump, stationary, single, or multichannel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0430","description":"Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillain-Barre M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1904","description":"Guillain-Barre M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor <18.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1903","description":"Guillian Barre with Motor <18.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication and fitting of ocular conformer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2628","description":"Fabrication and fitting of ocular conformer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair seat cushion, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2606","description":"Positioning wheelchair seat cushion, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable toe extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1830","description":"Dynamic adjustable toe extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Full sole and heel wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3420","description":"Full sole and heel wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan, fracture, metal or plastic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0276","description":"Bed pan, fracture, metal or plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6721","description":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SVCS PRFRM DOULA B WORKER PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1033","description":"SVCS PRFRM DOULA B WORKER PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD COMPR GMT GLV PAD NT USE CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6521","description":"GD COMPR GMT GLV PAD NT USE CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM transmitter assistive listening device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5288","description":"Assistive listening device, personal FM/DM transmitter assistive listening device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Emergency response system; installation and testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5160","description":"Emergency response system; installation and testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: wheelchair van","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0130","description":"Nonemergency transportation: wheelchair van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Helmet, protective, soft, custom fabricated, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8002","description":"Helmet, protective, soft, custom fabricated, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9501","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5785","description":"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0806","description":"Replacement of lower extremity joint with Motor <22.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Receiver (monitor); external, for use with artificial pancreas device system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1037","description":"Receiver (monitor); external, for use with artificial pancreas device system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace proximal and distal upright for KAFO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4070","description":"Replace proximal and distal upright for KAFO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Initial, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5505","description":"Initial, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillain-Barre M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1904","description":"Guillain-Barre M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4018","description":"Cast supplies, long arm splint, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1093","description":"Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >25.85 & Motor <37.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0603","description":"Neurological with Motor >25.85 & Motor <37.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0823","description":"Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge for use in insulin delivery device other than pump; 150 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5565","description":"Insulin cartridge for use in insulin delivery device other than pump; 150 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5497","description":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >38.85 & Motor <44.45.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0104","description":"Stroke with Motor >38.85 & Motor <44.45.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, basic life support, emergency transport (BLS, emergency)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0429","description":"Ambulance service, basic life support, emergency transport (BLS, emergency)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Companion care, adult (e.g., IADL/ADL); per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5136","description":"Companion care, adult (e.g., IADL/ADL); per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO RIG ANT TIB TCF/= CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1932","description":"AFO RIG ANT TIB TCF/= CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8480","description":"Prosthetic sock, single ply, fitting, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transducer protectors/fluid barriers, for hemodialysis, any size, per 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1575","description":"Transducer protectors/fluid barriers, for hemodialysis, any size, per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8684","description":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fully-reclining wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1070","description":"Fully-reclining wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home visit for wound care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9097","description":"Home visit for wound care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reclining back, addition to pediatric size wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1014","description":"Reclining back, addition to pediatric size wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic source imaging","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8035","description":"Magnetic source imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool, portable (overtub type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1300","description":"Whirlpool, portable (overtub type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2325","description":"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, posterior opening (Canadian) socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5634","description":"Addition to lower extremity, Symes type, posterior opening (Canadian) socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spirometer, electronic, includes all accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0487","description":"Spirometer, electronic, includes all accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 22 NF nonsealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2360","description":"Power wheelchair accessory, 22 NF nonsealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1110","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosphenytoin sodium, 750 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0078","description":"Injection, fosphenytoin sodium, 750 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compressor, segmental home model with calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652","description":"Pneumatic compressor, segmental home model with calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sunglasses frames","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0518","description":"Sunglasses frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2128","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physician management of patient home care, hospice monthly case rate (per 30 days)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0271","description":"Physician management of patient home care, hospice monthly case rate (per 30 days)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood ketone test or reagent strip, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4252","description":"Blood ketone test or reagent strip, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, radius/ulnar, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3982","description":"Upper extremity fracture orthotic, radius/ulnar, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1170","description":"Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8607","description":"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Controlled dose inhalation drug delivery system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0730","description":"Controlled dose inhalation drug delivery system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy compounding and dispensing services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9430","description":"Pharmacy compounding and dispensing services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2624","description":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8512","description":"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7521","description":"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Antisperm antibodies test (immunobead)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3655","description":"Antisperm antibodies test (immunobead)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6454","description":"Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6211","description":"Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5056","description":"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9361","description":"Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SGD ACCESSORY EMG SENSOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2513","description":"SGD ACCESSORY EMG SENSOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, bearings, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2210","description":"Wheelchair accessory, bearings, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4723","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, full-length/chap style, 30-40 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6537","description":"Gradient compression stocking, full-length/chap style, 30-40 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Service assessment/plan of care development, waiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2024","description":"Service assessment/plan of care development, waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical head harness/halter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0942","description":"Cervical head harness/halter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rectal thermometer, reusable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4932","description":"Rectal thermometer, reusable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >51.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0101","description":"Stroke with Motor >51.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Weight management classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9449","description":"Weight management classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2201","description":"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continuous passive motion exercise device for use on knee only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0935","description":"Continuous passive motion exercise device for use on knee only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Safety enclosure frame/canopy for use with hospital bed, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0316","description":"Safety enclosure frame/canopy for use with hospital bed, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8002","description":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable finger extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1825","description":"Dynamic adjustable finger extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1502","description":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty trifocal (by report)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2399","description":"Specialty trifocal (by report)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RN services, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1002","description":"RN services, up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5726","description":"Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, each additional cast change and realignment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6386","description":"Immediate postsurgical or early fitting, each additional cast change and realignment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, repair of infusion device (e.g., pump repair)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5036","description":"Home infusion therapy, repair of infusion device (e.g., pump repair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2201","description":"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP ARM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6588","description":"GRAD COM WRAP W STRAP ARM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100-SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100-SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BREAST RECON DIEP/SIEA FLAP & CLOS DONR SITE UNI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2068","description":"BREAST RECON DIEP/SIEA FLAP & CLOS DONR SITE UNI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, semi-rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2114","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, semi-rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, metal extension (skate)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3330","description":"Lift, elevation, metal extension (skate)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Jaw motion rehabilitation system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1700","description":"Jaw motion rehabilitation system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological examination including refraction; new patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0620","description":"Routine ophthalmological examination including refraction; new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microphone for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8616","description":"Microphone for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, pelvic band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5697","description":"Addition to lower extremity, above knee or knee disarticulation, pelvic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water, saline and/or dextrose, diluent/flush, 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4216","description":"Sterile water, saline and/or dextrose, diluent/flush, 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, outside state per mile, transport (Medicaid only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0021","description":"Ambulance service, outside state per mile, transport (Medicaid only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Arthroereisis, subtalar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2117","description":"Arthroereisis, subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional counseling, dietitian visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9470","description":"Nutritional counseling, dietitian visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast pump, hospital grade, electric (AC and/or DC), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0604","description":"Breast pump, hospital grade, electric (AC and/or DC), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2111","description":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of a Phase III clinical trial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9991","description":"Services provided as part of a Phase III clinical trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4422","description":"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, knee disarticulation, expandable wall socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5653","description":"Addition to lower extremity, knee disarticulation, expandable wall socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1801","description":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water softening system, for hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1625","description":"Water softening system, for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DSP COL&STG BG BRST MK ANY SZ/TY EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4287","description":"DSP COL&STG BG BRST MK ANY SZ/TY EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIRO3D PER CC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2025","description":"MIRO3D PER CC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6500","description":"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST TOE EXTENSION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1828","description":"ADJUST TOE EXTENSION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5506","description":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, flexion/extension wrist unit, with or without friction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6620","description":"Upper extremity addition, flexion/extension wrist unit, with or without friction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5638","description":"Addition to lower extremity, below knee, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All exoskeletal lower extremity prostheses, axial rotation unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5982","description":"All exoskeletal lower extremity prostheses, axial rotation unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adapter for breast pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4282","description":"Adapter for breast pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9357","description":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic indicator; retinal eye exam, dilated, bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3000","description":"Diabetic indicator; retinal eye exam, dilated, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Omnicardiogram/cardiointegram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9025","description":"Omnicardiogram/cardiointegram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6884","description":"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9345","description":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0168","description":"Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K-RT/CLARIX CORD 1K-SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4148","description":"NEOX CORD 1K-RT/CLARIX CORD 1K-SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST ELBOW FLEXION DEV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1804","description":"ADJUST ELBOW FLEXION DEV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Accessory for speech generating device, mounting system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2512","description":"Accessory for speech generating device, mounting system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9368","description":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4011","description":"Cast supplies, short arm cast, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Minoxidil, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0139","description":"Minoxidil, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0580","description":"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2613","description":"Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens PMMA, bifocal, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2502","description":"Contact lens PMMA, bifocal, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Detachable, adjustable height armrest, upper portion, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0018","description":"Detachable, adjustable height armrest, upper portion, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical traction device,  with inflatable air bladder(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0856","description":"Cervical traction device,  with inflatable air bladder(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor <26.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0304","description":"Non-traumatic brain injury with Motor <26.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6231","description":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Inversion/eversion correction device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9285","description":"Inversion/eversion correction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONTACT LENS HPI W/BV FLTR PER LENS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2526","description":"CONTACT LENS HPI W/BV FLTR PER LENS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ANTI-TUMR NECROS FACTOR IV TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9359","description":"HIT ANTI-TUMR NECROS FACTOR IV TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, other extremity with Motor <36.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1102","description":"Amputation, other extremity with Motor <36.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Administration set, with small volume filtered pneumatic nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7006","description":"Administration set, with small volume filtered pneumatic nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice general inpatient care; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2045","description":"Hospice general inpatient care; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, flexion/extension and rotation wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6624","description":"Upper extremity addition, flexion/extension and rotation wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0675","description":"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8043","description":"Upper facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing system, binaural, itc/itc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5214","description":"Hearing aid, contralateral routing system, binaural, itc/itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4544","description":"Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, spring assisted rotational wrist unit with latch release","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6623","description":"Upper extremity addition, spring assisted rotational wrist unit with latch release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, pectin-based, paste, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4406","description":"Ostomy skin barrier, pectin-based, paste, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Administration set, with small volume nonfiltered pneumatic nebulizer, nondisposable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7005","description":"Administration set, with small volume nonfiltered pneumatic nebulizer, nondisposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMACELL DERMACELL AWM/POROUS P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4122","description":"DERMACELL DERMACELL AWM/POROUS P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ANTI-SPASMOTIC TX; CARE SPL&EQP PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9363","description":"HIT ANTI-SPASMOTIC TX; CARE SPL&EQP PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >48.45.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0401","description":"Traumatic spinal cord injury with Motor >48.45.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, facial hood, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6503","description":"Compression burn garment, facial hood, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair component, drive wheel motor, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2368","description":"Power wheelchair component, drive wheel motor, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy belt with peristomal hernia support","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4396","description":"Ostomy belt with peristomal hernia support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8618","description":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Artificial cornea","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8609","description":"Artificial cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gait trainer, pediatric size, upright support, includes all accessories and components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E8001","description":"Gait trainer, pediatric size, upright support, includes all accessories and components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0434","description":"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard size footplate, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0042","description":"Standard size footplate, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4563","description":"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1040","description":"Medicaid certified community behavioral health clinic services, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Exercise equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9300","description":"Exercise equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0604","description":"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1070","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate, nasal spray, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0012","description":"Butorphanol tartrate, nasal spray, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4236","description":"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0693","description":"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2350","description":"Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, rigid, wheeled, adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0141","description":"Walker, rigid, wheeled, adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Emergency STAT laboratory charge for patient who is homebound or residing in a nursing facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3601","description":"Emergency STAT laboratory charge for patient who is homebound or residing in a nursing facility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, total contact, above knee or knee disarticulation socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5650","description":"Additions to lower extremity, total contact, above knee or knee disarticulation socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTH STM SYST ANY TYPE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0732","description":"CRANIAL ELECTROTH STM SYST ANY TYPE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IV pole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0776","description":"IV pole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable pack (water reservoir bag, speculum, valving mechanism, and collection bag/box) for use with the electronic bowel irrigation/evacuation system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0352","description":"Disposable pack (water reservoir bag, speculum, valving mechanism, and collection bag/box) for use with the electronic bowel irrigation/evacuation system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded double wall split socket, step-up hinges, half cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6120","description":"Below elbow, molded double wall split socket, step-up hinges, half cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >29.15 & Motor <39.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1503","description":"Pulmonary with Motor >29.15 & Motor <39.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special wheelchair seat depth, by upholstery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1297","description":"Special wheelchair seat depth, by upholstery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6450","description":"Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor >47.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1001","description":"Amputation, lower extremity with Motor >47.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9348","description":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6895","description":"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar bolster pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1030","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar bolster pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, extension, per extension, per bar (for lineal adjustment for growth)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2760","description":"Addition to lower extremity orthotic, extension, per extension, per bar (for lineal adjustment for growth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High strength lightweight wheelchair, detachable arms desk or full-length, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1088","description":"High strength lightweight wheelchair, detachable arms desk or full-length, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Laser in situ keratomileusis (LASIK)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0800","description":"Laser in situ keratomileusis (LASIK)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 very heavy-duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0880","description":"Power wheelchair, group 4 very heavy-duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4216","description":"Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate concentrate, powder, for hemodialysis, per packet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4707","description":"Bicarbonate concentrate, powder, for hemodialysis, per packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alkaline battery for use with cochlear implant device, any size, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8622","description":"Alkaline battery for use with cochlear implant device, any size, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external speech processor, component, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8627","description":"Cochlear implant, external speech processor, component, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical cap for contraceptive use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4261","description":"Cervical cap for contraceptive use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Brake attachment for wheeled walker, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0159","description":"Brake attachment for wheeled walker, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Megestrol acetate, oral, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0179","description":"Megestrol acetate, oral, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7017","description":"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3762","description":"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive, liquid or equal, any type, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4364","description":"Adhesive, liquid or equal, any type, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter; external, for use with artificial pancreas device system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1036","description":"Transmitter; external, for use with artificial pancreas device system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: ancillary: meals, recipient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0190","description":"Nonemergency transportation: ancillary: meals, recipient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8683","description":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid seat insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0992","description":"Manual wheelchair accessory, solid seat insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cap for breast pump bottle, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4283","description":"Cap for breast pump bottle, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4434","description":"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, routine service of infusion device (e.g., pump maintenance)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5035","description":"Home infusion therapy, routine service of infusion device (e.g., pump maintenance)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cam release assembly, footrest or legrest, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0051","description":"Cam release assembly, footrest or legrest, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma filter, any type, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4481","description":"Tracheostoma filter, any type, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >28.15 & Motor <34.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0703","description":"Fracture of lower extremity with Motor >28.15 & Motor <34.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microporous collagen implantable tube (NeuraGen Nerve Guide), per cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9352","description":"Microporous collagen implantable tube (NeuraGen Nerve Guide), per cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7003","description":"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, above elbow or elbow disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6688","description":"Upper extremity addition, frame type socket, above elbow or elbow disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonstandard size or length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3255","description":"Nonstandard size or length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant, Permacol, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9364","description":"Porcine implant, Permacol, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD COMP STK WAIST LENG 40MM HG< EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6541","description":"GRD COMP STK WAIST LENG 40MM HG< EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4427","description":"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elevating footrests, articulating (telescoping), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0053","description":"Elevating footrests, articulating (telescoping), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0093","description":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5646","description":"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4394","description":"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer device, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0705","description":"Transfer device, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2250","description":"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6209","description":"Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STCK B KNEE 30-40MMHG CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6553","description":"GD CMP STCK B KNEE 30-40MMHG CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath unit, portable (see medical supply code A4265 for paraffin)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0235","description":"Paraffin bath unit, portable (see medical supply code A4265 for paraffin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 extra heavy-duty, captain's chair, patient weight 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0829","description":"Power wheelchair, group 2 extra heavy-duty, captain's chair, patient weight 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >24.15 & Motor <34.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0903","description":"Other orthopedic with Motor >24.15 & Motor <34.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5910","description":"Addition, endoskeletal system, below knee, alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift, electric, with seat or sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0635","description":"Patient lift, electric, with seat or sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, limited ankle motion, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2200","description":"Addition to lower extremity, limited ankle motion, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Helmet, protective, hard, prefabricated, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8001","description":"Helmet, protective, hard, prefabricated, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, disconnect locking wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6615","description":"Upper extremity addition, disconnect locking wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2612","description":"General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0779","description":"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast shield and splash protector for use with breast pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4284","description":"Breast shield and splash protector for use with breast pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, Silesian bandage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5698","description":"Addition to lower extremity, above knee or knee disarticulation, Silesian bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, condylar pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2810","description":"Addition to lower extremity orthotic, knee control, condylar pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Control unit for electronic bowel irrigation/evacuation system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0350","description":"Control unit for electronic bowel irrigation/evacuation system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2203","description":"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe with needle, sterile 3 cc, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4208","description":"Syringe with needle, sterile 3 cc, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4385","description":"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SVCS PRFRM DOULA B WKR PER 15 MIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1032","description":"SVCS PRFRM DOULA B WKR PER 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4526","description":"Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Posterior chamber intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2632","description":"Posterior chamber intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1234","description":"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, protective underpad, reusable, chair size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4540","description":"Incontinence product, protective underpad, reusable, chair size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1920","description":"Ankle-foot orthotic (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, stance flexion feature, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5845","description":"Addition, endoskeletal knee-shin system, stance flexion feature, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Combination sit-to-stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0637","description":"Combination sit-to-stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4171","description":"Interfyl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4389","description":"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0110","description":"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4074","description":"Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic side bar disconnect device, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2768","description":"Orthotic side bar disconnect device, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, full leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667","description":"Segmental pneumatic appliance for use with pneumatic compressor, full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EZ DERM PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4136","description":"EZ DERM PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9212","description":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F PED HYDROLYZED/AA&PEPTIDE CHAIN PROTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"ENTRAL F PED HYDROLYZED/AA&PEPTIDE CHAIN PROTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0486","description":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Detachable, adjustable height armrest, base, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0017","description":"Detachable, adjustable height armrest, base, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Simultaneous pancreas kidney transplantation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2065","description":"Simultaneous pancreas kidney transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter; specialty type, (e.g., Coude, mushroom, wing, etc.), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4340","description":"Indwelling catheter; specialty type, (e.g., Coude, mushroom, wing, etc.), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1357","description":"Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, noncorrosive finish, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2780","description":"Addition to lower extremity orthotic, noncorrosive finish, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0160","description":"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0828","description":"Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction frame, attached to footboard, pelvic traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0890","description":"Traction frame, attached to footboard, pelvic traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bifocal seg width over 28mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2219","description":"Bifocal seg width over 28mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9211","description":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4398","description":"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"THERAGENESIS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2008","description":"THERAGENESIS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, external powered, additional switch, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6611","description":"Addition to upper extremity prosthesis, external powered, additional switch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1270","description":"Lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous component, supply or accessory for use with total artificial heart system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8698","description":"Miscellaneous component, supply or accessory for use with total artificial heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, full arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0668","description":"Segmental pneumatic appliance for use with pneumatic compressor, full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case management, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1017","description":"Targeted case management, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0294","description":"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6199","description":"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable angle footplate, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0040","description":"Adjustable angle footplate, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy belt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4367","description":"Ostomy belt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6130","description":"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for hemoglobin E beta-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3846","description":"Genetic testing for hemoglobin E beta-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1390","description":"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMPR GRMT BRA NIGHT USE CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6529","description":"GRAD CMPR GRMT BRA NIGHT USE CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2783","description":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8470","description":"Prosthetic sock, single ply, fitting, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube plug/stop, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7527","description":"Tracheostomy/laryngectomy tube plug/stop, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3808","description":"Wrist-hand-finger orthotic (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >48.45.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0401","description":"Traumatic spinal cord injury with Motor >48.45.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4037","description":"Cast supplies, short leg cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy supply, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8189","description":"Tracheostomy supply, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6216","description":"Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mirror coating, any type, solid, gradient or equal, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2761","description":"Mirror coating, any type, solid, gradient or equal, any lens material, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5112","description":"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0863","description":"Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External urethral clamp or compression device (not to be used for catheter clamp), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4356","description":"External urethral clamp or compression device (not to be used for catheter clamp), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing device, monaural, in the canal (itc)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5172","description":"Hearing aid, contralateral routing device, monaural, in the canal (itc)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression bandage, roll","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8431","description":"Compression bandage, roll","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with motor score from 39 -45.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1004","description":"Amputation, lower extremity with motor score from 39 -45.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-PVC (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in PVC e.g., Paclitaxel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1016","description":"Non-PVC (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in PVC e.g., Paclitaxel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4726","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2110","description":"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Swivel adaptor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8186","description":"Swivel adaptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lodging, per diem, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9976","description":"Lodging, per diem, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HO ABDUCTION STATIC OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1653","description":"HO ABDUCTION STATIC OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2373","description":"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, TDD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5272","description":"Assistive listening device, TDD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9590","description":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oropharyngeal suction catheter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4628","description":"Oropharyngeal suction catheter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preadmission screening and resident review (PASRR) level I identification screening, per screen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2010","description":"Preadmission screening and resident review (PASRR) level I identification screening, per screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Automatic blood pressure monitor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4670","description":"Automatic blood pressure monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >41.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0301","description":"Non-traumatic brain injury with Motor >41.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CP ST FULL L/CP ST 40MMHG OR<C E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6561","description":"GD CP ST FULL L/CP ST 40MMHG OR<C E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of multivisceral organs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2054","description":"Transplantation of multivisceral organs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, lateral support uprights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2680","description":"Addition to lower extremity, thoracic control, lateral support uprights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2205","description":"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALS specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in BLS ambulances)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0392","description":"ALS specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in BLS ambulances)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5616","description":"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, axilla sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1010","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, axilla sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical records copying fee, administrative","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9981","description":"Medical records copying fee, administrative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special casting material (e.g., fiberglass)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4590","description":"Special casting material (e.g., fiberglass)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP ARM CU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6518","description":"GRAD COM WRAP W STRAP ARM CU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRIP GLOVE REPLACEMENT ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8006","description":"GRIP GLOVE REPLACEMENT ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable analog, binaural, CIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5250","description":"Hearing aid, digitally programmable analog, binaural, CIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and legrest, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1009","description":"Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and legrest, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gastric suction pump, home model, portable or stationary, electric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2000","description":"Gastric suction pump, home model, portable or stationary, electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle modifications, waiver; per service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2039","description":"Vehicle modifications, waiver; per service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, excursion amplifier, lever type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6642","description":"Upper extremity addition, excursion amplifier, lever type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic agent for urinary catheter irrigation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4321","description":"Therapeutic agent for urinary catheter irrigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY REHAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0738","description":"UPPER EXTREMITY REHAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, transducer/actuator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8694","description":"Auditory osseointegrated device, transducer/actuator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROGRAMMER TRANSIENT ORALLY ING CAP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9268","description":"PROGRAMMER TRANSIENT ORALLY ING CAP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 extra heavy-duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0840","description":"Power wheelchair, group 2 extra heavy-duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mouthpiece","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4617","description":"Mouthpiece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to power seating system, power leg elevation system, including legrest, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1010","description":"Wheelchair accessory, addition to power seating system, power leg elevation system, including legrest, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1705","description":"Major multiple trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Expired, orthopedic, length of stay is 13 days or fewer.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5101","description":"Expired, orthopedic, length of stay is 13 days or fewer.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Single vision prescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0504","description":"Single vision prescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEUM COMPR CNTRL W/CALIBR GRD P","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0680","description":"NONPNEUM COMPR CNTRL W/CALIBR GRD P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3870","description":"Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger, 6 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7362","description":"Battery charger, 6 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0106","description":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4419","description":"Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vertical shock reducing pylon feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5988","description":"Addition to lower limb prosthesis, vertical shock reducing pylon feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen and water vapor enriching system with heated delivery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1405","description":"Oxygen and water vapor enriching system with heated delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure cuff only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4663","description":"Blood pressure cuff only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0877","description":"Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Headset/headpiece for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8615","description":"Headset/headpiece for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Regulator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1353","description":"Regulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose monitor with integrated voice synthesizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2100","description":"Blood glucose monitor with integrated voice synthesizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENEM TUBE W/WO ADPT ANY RPL ONLY EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4457","description":"ENEM TUBE W/WO ADPT ANY RPL ONLY EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, shoe molded to patient model, silicone shoe, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3251","description":"Foot, shoe molded to patient model, silicone shoe, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7190","description":"Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >16.05 & Motor <30.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0403","description":"Traumatic spinal cord injury with Motor >16.05 & Motor <30.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, single vision, plano to plus or minus 4.00, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2100","description":"Sphere, single vision, plano to plus or minus 4.00, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0204","description":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bathtub wall rail, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0241","description":"Bathtub wall rail, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5973","description":"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Daily wear specialty contact lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0512","description":"Daily wear specialty contact lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examination, new patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0610","description":"Annual gynecological examination, new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >44.25 & Cognitive <23.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0203","description":"Traumatic brain injury with Motor >44.25 & Cognitive <23.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2550","description":"Addition to lower extremity, thigh/weight bearing, high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, Hosmer or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7170","description":"Electronic elbow, Hosmer or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSQ ELEC NRV STM ELEC TRIGEM NRV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0733","description":"TRANSQ ELEC NRV STM ELEC TRIGEM NRV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4674","description":"Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable liner/shield/guard/pad/undergarment, for incontinence, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4535","description":"Disposable liner/shield/guard/pad/undergarment, for incontinence, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Packing strips, nonimpregnated, sterile, up to 2 in in width, per linear yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6407","description":"Packing strips, nonimpregnated, sterile, up to 2 in in width, per linear yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTRFC BLW KNEE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTRFC BLW KNEE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG SUP PD TXT P/YD ANY W EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6606","description":"GD CMP BDG SUP PD TXT P/YD ANY W EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC &/ VACUUM PREFAB CUSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4360","description":"WALKING BOOT PNEUMATC &/ VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, hightop with supinator or pronator, junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3207","description":"Orthopedic shoe, hightop with supinator or pronator, junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3678","description":"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental gradient pressure pneumatic appliance, full arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0672","description":"Segmental gradient pressure pneumatic appliance, full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Percussor, electric or pneumatic, home model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0480","description":"Percussor, electric or pneumatic, home model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0304","description":"Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND N/S W<3\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6442","description":"CONFORM BAND N/S W<3\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2600","description":"Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STCK TH LEN 40MMHG OR< CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6558","description":"GD CMP STCK TH LEN 40MMHG OR< CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable knee extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1810","description":"Dynamic adjustable knee extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame width, 24-27 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2202","description":"Manual wheelchair accessory, nonstandard seat frame width, 24-27 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubing (oxygen), per foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4616","description":"Tubing (oxygen), per foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6055","description":"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6022","description":"Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEM ALLO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEM ALLO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace leather cuff KAFO, proximal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4100","description":"Replace leather cuff KAFO, proximal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic, locking knee joint(s), positional orthotic, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1831","description":"Knee orthotic, locking knee joint(s), positional orthotic, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6247","description":"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2112","description":"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4392","description":"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic or other material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1940","description":"Ankle-foot orthotic (AFO), plastic or other material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2210","description":"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0804","description":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, antirollback device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0974","description":"Manual wheelchair accessory, antirollback device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home health respiratory therapy, NOS, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5181","description":"Home health respiratory therapy, NOS, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1801","description":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4026","description":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5617","description":"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor <28.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0704","description":"Fracture of lower extremity with Motor <28.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, garter belt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6544","description":"Gradient compression stocking, garter belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Single vitamin/mineral/trace element, oral, per dose, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9152","description":"Single vitamin/mineral/trace element, oral, per dose, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5652","description":"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Acetate concentrate solution, for hemodialysis, per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4708","description":"Acetate concentrate solution, for hemodialysis, per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor <16.05 & Age <63.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0405","description":"Traumatic spinal cord injury with Motor <16.05 & Age <63.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MEMODERM TRANZGRAFT/INTEGUPLY SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4126","description":"MEMODERM TRANZGRAFT/INTEGUPLY SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, flexible, thermoplastic collar, molded to patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0130","description":"Cervical, flexible, thermoplastic collar, molded to patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD EXO KN-SHIN SA FRICT SWG CNTRL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5712","description":"ADD EXO KN-SHIN SA FRICT SWG CNTRL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B5100","description":"PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2342","description":"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0738","description":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4030","description":"Cast supplies, long leg cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9328","description":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Light compression bandage, elastic, knitted/woven, width less than 3 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6448","description":"Light compression bandage, elastic, knitted/woven, width less than 3 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonprescription drugs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9150","description":"Nonprescription drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9208","description":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6509","description":"Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0694","description":"Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4168","description":"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement diaphragm/faceplate for tracheostoma valve, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7502","description":"Replacement diaphragm/faceplate for tracheostoma valve, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP BN CUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6517","description":"GRAD COM WRAP W STRAP BN CUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9327","description":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair component or accessory, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0108","description":"Wheelchair component or accessory, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1010","description":"Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD CMP STK BLW KNEE 40-50MM HG SRG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6532","description":"GRD CMP STK BLW KNEE 40-50MM HG SRG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0303","description":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"In vitro fertilization procedure cancelled before aspiration, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4020","description":"In vitro fertilization procedure cancelled before aspiration, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Drainage extension line, sterile, for dialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4672","description":"Drainage extension line, sterile, for dialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unidentified code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E7689","description":"Unidentified code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode seat, wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0968","description":"Commode seat, wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasogastric tubing with stylet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4081","description":"Nasogastric tubing with stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4690","description":"Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical traction equipment not requiring additional stand or frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0855","description":"Cervical traction equipment not requiring additional stand or frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical mask, per 20","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4928","description":"Surgical mask, per 20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0113","description":"Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >30.05 & Motor <34.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0106","description":"Stroke with Motor >30.05 & Motor <34.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for manual wheelchair, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1015","description":"Shock absorber for manual wheelchair, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift mechanism, non-electric, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0629","description":"Seat lift mechanism, non-electric, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for automated external defibrillator, garment type only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0607","description":"Replacement battery for automated external defibrillator, garment type only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonstandard size or width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3254","description":"Nonstandard size or width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound filler, dry form, sterile, per g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6241","description":"Hydrocolloid dressing, wound filler, dry form, sterile, per g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5, without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5, without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2202","description":"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Composite dressing, sterile, pad size more than 16 sq in, but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6204","description":"Composite dressing, sterile, pad size more than 16 sq in, but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Modified solid food supplements for inborn errors of metabolism","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9434","description":"Modified solid food supplements for inborn errors of metabolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation gum","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4995","description":"Smoking cessation gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), without knee joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2010","description":"Knee-ankle-foot orthotic (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), without knee joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0088","description":"Imatinib, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, soft, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2132","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, soft, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, cylinder tank carrier, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2208","description":"Wheelchair accessory, cylinder tank carrier, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMP ARM SLEEVE&GLV CMB CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6574","description":"GRAD CMP ARM SLEEVE&GLV CMB CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, pelvic sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2580","description":"Addition to lower extremity, pelvic control, pelvic sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR UE ROM AST DVC ELBO WR H FINGER 1/DBL UP CUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8702","description":"PWR UE ROM AST DVC ELBO WR H FINGER 1/DBL UP CUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NOVASHIELD/NOVOGEN PR SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2045","description":"NOVASHIELD/NOVOGEN PR SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0655","description":"Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor <29.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1504","description":"Pulmonary with Motor <29.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9342","description":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIRRAGEN ADVANCE WOUND MATRIX SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2002","description":"MIRRAGEN ADVANCE WOUND MATRIX SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, nonmolded lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2320","description":"Addition to lower extremity, nonmolded lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit, includes pads","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0225","description":"Hydrocollator unit, includes pads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >41.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0301","description":"Non-traumatic brain injury with Motor >41.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6242","description":"Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Powered air flotation bed (low air loss therapy)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0193","description":"Powered air flotation bed (low air loss therapy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transportation ancillary: parking fees, tolls, other","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0170","description":"Transportation ancillary: parking fees, tolls, other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2114","description":"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand-finger orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3975","description":"Shoulder-elbow-wrist-hand-finger orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter, nondisposable, used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7039","description":"Filter, nondisposable, used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1020","description":"PERSONAL CARE SERVICES PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0174","description":"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Utility services to support medical equipment and assistive technology/devices, waiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2035","description":"Utility services to support medical equipment and assistive technology/devices, waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), rib gusset (elastic), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1280","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), rib gusset (elastic), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sole wedge, outside sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3360","description":"Sole wedge, outside sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE CONT GLUCOSE MON/RCVR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2102","description":"ADJUNCTIVE CONT GLUCOSE MON/RCVR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2303","description":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, sport/recreational/work attachment, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6704","description":"Terminal device, sport/recreational/work attachment, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5210","description":"Above knee, short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLV DISP PER MNTH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4437","description":"IRRIGATION SUPPLY SLV DISP PER MNTH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, tilt only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1002","description":"Wheelchair accessory, power seating system, tilt only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0161","description":"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4391","description":"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"APIS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2010","description":"APIS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4366","description":"Ostomy vent, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Female external urinary collection device; meatal cup, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4327","description":"Female external urinary collection device; meatal cup, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4431","description":"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4721","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stand/rack","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1355","description":"Stand/rack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor <30.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1203","description":"Osteoarthritis with Motor <30.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Burns with Motor >0.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2101","description":"Burns with Motor >0.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR GARMENT TOE CAPS CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6573","description":"GRAD COMPR GARMENT TOE CAPS CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation and bus, intra- or interstate carrier","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0110","description":"Nonemergency transportation and bus, intra- or interstate carrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion set for external insulin pump, nonneedle cannula type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230","description":"Infusion set for external insulin pump, nonneedle cannula type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Language screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5363","description":"Language screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2037","description":"Knee-ankle-foot orthotic (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2101","description":"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6224","description":"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor >26.75 & Motor <37.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1602","description":"Pain syndrome with Motor >26.75 & Motor <37.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable anesthetic, for dialysis, per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4737","description":"Injectable anesthetic, for dialysis, per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >16.05 & Motor <30.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0403","description":"Traumatic spinal cord injury with Motor >16.05 & Motor <30.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6686","description":"Upper extremity addition, suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2013","description":"INNOVAMATRIX FS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMPR GMT LWR LG&FT PAD NT USE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6524","description":"GD CMPR GMT LWR LG&FT PAD NT USE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9353","description":"Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microcapillary tube sealant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4652","description":"Microcapillary tube sealant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricated wheelchair seat cushion, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2609","description":"Custom fabricated wheelchair seat cushion, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0606","description":"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENDO KNEE SHIN SINGLE AXIS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5827","description":"ENDO KNEE SHIN SINGLE AXIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, rubber","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3510","description":"Orthopedic shoe addition, insole, rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4565","description":"Slings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LW FRQ U/S DIA TX DVC HM USE INCL CMPNT & ACCESS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1004","description":"LW FRQ U/S DIA TX DVC HM USE INCL CMPNT & ACCESS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Padding bandage, nonelastic, nonwoven/nonknitted, width greater than or equal to 3 in and less than 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6441","description":"Padding bandage, nonelastic, nonwoven/nonknitted, width greater than or equal to 3 in and less than 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5644","description":"Addition to lower extremity, above knee, wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, molded socket, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5100","description":"Below knee, molded socket, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, March bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3595","description":"Orthopedic shoe addition, March bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic with ankle joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1970","description":"Ankle-foot orthotic (AFO), plastic with ankle joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0008","description":"Custom manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonelastic binder for extremity","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4465","description":"Nonelastic binder for extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MPJ REPLCMT TWO/MORE PECES METL CER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8631","description":"MPJ REPLCMT TWO/MORE PECES METL CER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Screening proctoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0601","description":"Screening proctoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0853","description":"Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1260","description":"Lightweight wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEG PNEUM COMP HEAD NECK CHE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0659","description":"SEG PNEUM COMP HEAD NECK CHE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing wound filler, sterile, per 6 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6024","description":"Collagen dressing wound filler, sterile, per 6 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0170","description":"Cervical, collar, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with faceplate attached, rubber, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4380","description":"Ostomy pouch, urinary, with faceplate attached, rubber, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement cover for wheelchair seat cushion or back cushion, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2619","description":"Replacement cover for wheelchair seat cushion or back cushion, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact wound-warming wound cover for use with the noncontact wound-warming device and warming card","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6000","description":"Noncontact wound-warming wound cover for use with the noncontact wound-warming device and warming card","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nutrition classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9452","description":"Nutrition classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5728","description":"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0862","description":"Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respite care, not hospice; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5151","description":"Unskilled respite care, not hospice; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Appliance cleaner, incontinence and ostomy appliances, per 16 oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5131","description":"Appliance cleaner, incontinence and ostomy appliances, per 16 oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5517","description":"Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPL RIGD DRESS W/EA ADD CAST CHG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5410","description":"IMMED POSTSURG APPL RIGD DRESS W/EA ADD CAST CHG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive management and care coordination for advanced illness, per calendar month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0311","description":"Comprehensive management and care coordination for advanced illness, per calendar month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic brain","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0305","description":"Non-traumatic brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training, family; per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5111","description":"Home care training, family; per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIOFEED DIG COG BEHAV TX FDA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9294","description":"BIOFEED DIG COG BEHAV TX FDA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procurement and cryopreservation services; subsequent visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4031","description":"Sperm procurement and cryopreservation services; subsequent visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5706","description":"Custom shaped protective cover, knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, folding (pickup), adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0135","description":"Walker, folding (pickup), adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Narrowing device, wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0969","description":"Narrowing device, wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2275","description":"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DOCKING STATION FOR ORAL DEV/APPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1037","description":"DOCKING STATION FOR ORAL DEV/APPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >34.15 & Motor <42.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0702","description":"Fracture of lower extremity with Motor >34.15 & Motor <42.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD ENDOSKL K-SHN 4 BAR LINK/MXAXL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5615","description":"ADD ENDOSKL K-SHN 4 BAR LINK/MXAXL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4012","description":"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, prevocational, waiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2047","description":"Habilitation, prevocational, waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 24 nonsealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2362","description":"Power wheelchair accessory, group 24 nonsealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Platforms for home blood glucose monitor, 50 per box","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4255","description":"Platforms for home blood glucose monitor, 50 per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HEARING AID BINAURAL ITE/ITE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5211","description":"HEARING AID BINAURAL ITE/ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Health club membership, annual","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9970","description":"Health club membership, annual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >25.55 & Motor <31.05., comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1703","description":"Major multiple trauma without brain or spinal cord injury with Motor >25.55 & Motor <31.05., comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Frozen embryo transfer procedure cancelled before transfer, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4018","description":"Frozen embryo transfer procedure cancelled before transfer, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1040","description":"Cranial remolding orthotic, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Meals, per diem, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9977","description":"Meals, per diem, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lower-lower extremity with motor score from 12 -37.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1103","description":"Lower-lower extremity with motor score from 12 -37.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7503","description":"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4566","description":"Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2755","description":"Addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4358","description":"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5976","description":"All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot pressure off loading/supportive device, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9283","description":"Foot pressure off loading/supportive device, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IV hanger, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0105","description":"IV hanger, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BLS specialized service disposable supplies; defibrillation (used by ALS ambulances and BLS ambulances in jurisdictions where defibrillation is permitted in BLS ambulances)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0384","description":"BLS specialized service disposable supplies; defibrillation (used by ALS ambulances and BLS ambulances in jurisdictions where defibrillation is permitted in BLS ambulances)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4006","description":"Cast supplies, long arm cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, U-1 nonsealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2364","description":"Power wheelchair accessory, U-1 nonsealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0666","description":"Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg splint, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4042","description":"Cast supplies, long leg splint, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor >23.05 & Motor <40.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1802","description":"Major multiple trauma with brain or spinal cord injury with Motor >23.05 & Motor <40.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMPR STK WAIST L 18-30MMHG CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6562","description":"GD CMPR STK WAIST L 18-30MMHG CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair, mobile or stationary, with fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0163","description":"Commode chair, mobile or stationary, with fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >51.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0501","description":"Non-traumatic spinal cord injury with Motor >51.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2620","description":"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pad for water circulating heat unit, for replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0249","description":"Pad for water circulating heat unit, for replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2214","description":"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Footrest, complete assembly, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0045","description":"Footrest, complete assembly, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Artacent ac, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4189","description":"Artacent ac, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3918","description":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOEXL AMNIOEL PLUS/BIODEXL P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4137","description":"AMNIOEXL AMNIOEL PLUS/BIODEXL P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lens, polycarbonate or equal, any index, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2784","description":"Lens, polycarbonate or equal, any index, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger, bilateral with vertical extensions","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1085","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger, bilateral with vertical extensions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, folding, adjustable, with seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1236","description":"Wheelchair, pediatric size, folding, adjustable, with seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Echosclerotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2202","description":"Echosclerotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REHAB SYS ACTIVE ASSIST RT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0739","description":"REHAB SYS ACTIVE ASSIST RT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6629","description":"Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger; replacement for patient-owned ventilator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4613","description":"Battery charger; replacement for patient-owned ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MYRIAD MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2032","description":"MYRIAD MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4157","description":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0427","description":"Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PASSIVE CUSTOM DIGIT/THUMB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6039","description":"PASSIVE CUSTOM DIGIT/THUMB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >38.55 & Motor <48.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1402","description":"Cardiac with Motor >38.55 & Motor <48.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6256","description":"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5855","description":"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Binaural, behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5140","description":"Binaural, behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, urinary tract obstruction in the fetus, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2401","description":"Repair, urinary tract obstruction in the fetus, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, institutional type includes: oscillating, circulating and Stryker frame, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0270","description":"Hospital bed, institutional type includes: oscillating, circulating and Stryker frame, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8045","description":"Auricular prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3090","description":"Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cimetidine HCl, 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0023","description":"Injection, cimetidine HCl, 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5682","description":"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, analog, binaural, ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5249","description":"Hearing aid, analog, binaural, ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MAN W/C POWR ASSIST SYST","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0986","description":"MAN W/C POWR ASSIST SYST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMPR GMT F LG&FT PAD NT USE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6526","description":"GRAD CMPR GMT F LG&FT PAD NT USE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4029","description":"Cast supplies, long leg cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5513","description":"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONTACT LENS HPHI DUAL FOC PER LENS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2525","description":"CONTACT LENS HPHI DUAL FOC PER LENS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Warming card for use with the noncontact wound-warming device and noncontact wound-warming wound cover","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0232","description":"Warming card for use with the noncontact wound-warming device and noncontact wound-warming wound cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Exercise classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9451","description":"Exercise classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8515","description":"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, femoral length sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2850","description":"Addition to lower extremity orthotic, femoral length sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, fixed height, without side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0291","description":"Hospital bed, fixed height, without side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0670","description":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Birthing classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9442","description":"Birthing classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interferential current stimulator, 4 channel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8131","description":"Interferential current stimulator, 4 channel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Permanent, long-term, nondissolvable lacrimal duct implant, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4263","description":"Permanent, long-term, nondissolvable lacrimal duct implant, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to halo procedure, replacement liner/interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0861","description":"Addition to halo procedure, replacement liner/interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nursing assessment/evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1001","description":"Nursing assessment/evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W/ANK JNT CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound filler, paste, sterile, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6240","description":"Hydrocolloid dressing, wound filler, paste, sterile, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty occupational multifocal lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2786","description":"Specialty occupational multifocal lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lumbar derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1240","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lumbar derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"No. 2 footplates, except for elevating legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0970","description":"No. 2 footplates, except for elevating legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (shading and measurements included), replacement glove for above","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6915","description":"Hand restoration (shading and measurements included), replacement glove for above","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5850","description":"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0205","description":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water, distilled, used with large volume nebulizer, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7018","description":"Water, distilled, used with large volume nebulizer, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Haberman feeder for cleft lip/palate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8265","description":"Haberman feeder for cleft lip/palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, lacer, nonmolded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2530","description":"Addition to lower extremity, thigh/weight bearing, lacer, nonmolded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer bench, heavy-duty, for tub or toilet with or without commode opening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0248","description":"Transfer bench, heavy-duty, for tub or toilet with or without commode opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1036","description":"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2395","description":"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pad for use with medically necessary alternating pressure pad owned by patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4640","description":"Replacement pad for use with medically necessary alternating pressure pad owned by patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >39.05 & Motor <49.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1502","description":"Pulmonary with Motor >39.05 & Motor <49.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle modification program for management of coronary artery disease, including all supportive services; 4th quarter / stage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0342","description":"Lifestyle modification program for management of coronary artery disease, including all supportive services; 4th quarter / stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home uterine monitor with or without associated nursing services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9001","description":"Home uterine monitor with or without associated nursing services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Automatic intermittent peritoneal dialysis system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1592","description":"Automatic intermittent peritoneal dialysis system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice long-term care, room and board only; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2046","description":"Hospice long-term care, room and board only; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2224","description":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2306","description":"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2001","description":"INNOVAMATRIX AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2025","description":"Deluxe frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >34.35 & Motor <44.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0902","description":"Other orthopedic with Motor >34.35 & Motor <44.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4031","description":"Cast supplies, long leg cast, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on faceplate, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5053","description":"Ostomy pouch, closed; for use on faceplate, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Balance lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2700","description":"Balance lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with flange (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5054","description":"Ostomy pouch, closed; for use on barrier with flange (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure pad for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0197","description":"Air pressure pad for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supply, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T5999","description":"Supply, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ofloxacin, 400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0034","description":"Injection, ofloxacin, 400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat, contoured, for pediatric size wheelchair including fixed attaching hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2294","description":"Seat, contoured, for pediatric size wheelchair including fixed attaching hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 in above the spring, includes mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0329","description":"Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 in above the spring, includes mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal dialysis clamps, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1634","description":"Peritoneal dialysis clamps, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FINANCIAL MGMT SELF-DIR WAIVER; PD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2050","description":"FINANCIAL MGMT SELF-DIR WAIVER; PD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Canister, disposable, used with suction pump, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7000","description":"Canister, disposable, used with suction pump, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement cushions for jaw motion rehabilitation system, package of 6","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1701","description":"Replacement cushions for jaw motion rehabilitation system, package of 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0830","description":"Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (gauntlet), ready made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8428","description":"Gradient pressure aid (gauntlet), ready made","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (glove), ready made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8427","description":"Gradient pressure aid (glove), ready made","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer, ultrasonic, large volume","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0575","description":"Nebulizer, ultrasonic, large volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, adjustable motion knee joint, Lerman type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2186","description":"Addition to lower extremity fracture orthotic, adjustable motion knee joint, Lerman type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, ladies shoe, depth inlay, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3216","description":"Orthopedic footwear, ladies shoe, depth inlay, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2208","description":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8465","description":"Prosthetic shrinker, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND S W <3\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6445","description":"CONFORM BAND S W <3\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALS mileage (per mile)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0390","description":"ALS mileage (per mile)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator pulse generator, single array, nonrechargeable, includes extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8686","description":"Implantable neurostimulator pulse generator, single array, nonrechargeable, includes extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HO BIL HIP JOINTS & THIGH CUFFS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1681","description":"HO BIL HIP JOINTS & THIGH CUFFS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover, wipes, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4456","description":"Adhesive remover, wipes, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4532","description":"Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assembly, complete, with solid tire, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0077","description":"Front caster assembly, complete, with solid tire, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9274","description":"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5716","description":"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pressure alarm for hemodialysis, each, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1540","description":"Pressure alarm for hemodialysis, each, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor <18.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1903","description":"Guillian Barre with Motor <18.05.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5651","description":"Addition to lower extremity, above knee, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, other type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2599","description":"Contact lens, other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP FU LEG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6586","description":"GRAD COM WRAP W STRAP FU LEG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CES SYS SUP & ACCESSORIES PER MONTH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4596","description":"CES SYS SUP & ACCESSORIES PER MONTH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTEGRA BMWD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4104","description":"INTEGRA BMWD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external speech processor and controller, integrated system, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8619","description":"Cochlear implant, external speech processor and controller, integrated system, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteotomy, periacetabular, with internal fixation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2115","description":"Osteotomy, periacetabular, with internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing, sterile, size 16 sq in or less, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6021","description":"Collagen dressing, sterile, size 16 sq in or less, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0009","description":"Other manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IN VITRO FERTILIZATION;","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4011","description":"IN VITRO FERTILIZATION;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3660","description":"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5631","description":"Addition to lower extremity, above knee or knee disarticulation, acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25., comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1702","description":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25., comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm splint, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4022","description":"Cast supplies, short arm splint, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GAUNTLET EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6582","description":"GRADIENT COMPRESSION GAUNTLET EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4009","description":"Cast supplies, short arm cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services provided in an urgent care center (list in addition to code for service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9088","description":"Services provided in an urgent care center (list in addition to code for service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GARMENT NECK/HEAD EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6566","description":"GRADIENT COMPR GARMENT NECK/HEAD EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vision item or service, miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2799","description":"Vision item or service, miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, abduction rotation bar, without shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3150","description":"Foot, abduction rotation bar, without shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Behavioral health; long-term care residential (nonacute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2048","description":"Behavioral health; long-term care residential (nonacute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9351","description":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEUM SEQ COMPRES GRMNT HALF LEG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0679","description":"NONPNEUM SEQ COMPRES GRMNT HALF LEG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer, with compressor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0570","description":"Nebulizer, with compressor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4602","description":"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9340","description":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthotic, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0113","description":"Cranial cervical orthotic, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alert or alarm device, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9280","description":"Alert or alarm device, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chinstrap used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7036","description":"Chinstrap used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COUDE TIP HYDROPHILIC CATH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4296","description":"COUDE TIP HYDROPHILIC CATH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, nondextrose containing, 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4728","description":"Dialysate solution, nondextrose containing, 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1080","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, silicone gel, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3003","description":"Foot insert, removable, molded to patient model, silicone gel, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT MEC LIMB VOL LAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5783","description":"ADD LOW EXT MEC LIMB VOL LAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, molded socket, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5200","description":"Above knee, molded socket, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program, nurse visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9460","description":"Diabetic management program, nurse visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Partial facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8046","description":"Partial facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair, fixed full-length arms, swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1085","description":"Hemi-wheelchair, fixed full-length arms, swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Footrest, for use with commode chair, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0175","description":"Footrest, for use with commode chair, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, ischial containment/narrow M-L socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5649","description":"Addition to lower extremity, ischial containment/narrow M-L socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, piperacillin sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0081","description":"Injection, piperacillin sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, binaural, CIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5258","description":"Hearing aid, digital, binaural, CIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1806","description":"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0960","description":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger, twelve volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7366","description":"Battery charger, twelve volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reciprocating peritoneal dialysis system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1630","description":"Reciprocating peritoneal dialysis system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 sq in or less","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0744","description":"Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 sq in or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RESTRATA MINIMATRIX 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2026","description":"RESTRATA MINIMATRIX 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal dialysis catheter anchoring device, belt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4653","description":"Peritoneal dialysis catheter anchoring device, belt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST FINGER EXTENSION DEV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1826","description":"ADJUST FINGER EXTENSION DEV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor >30.35 & Motor <48.45.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0402","description":"Traumatic spinal cord injury with Motor >30.35 & Motor <48.45.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8606","description":"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, shoulder cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4004","description":"Cast supplies, shoulder cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3000","description":"Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulation (TENS) device, 2 lead, localized stimulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0720","description":"Transcutaneous electrical nerve stimulation (TENS) device, 2 lead, localized stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5671","description":"Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood tubing, arterial or venous, for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4750","description":"Blood tubing, arterial or venous, for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable peak flow meter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8096","description":"Portable peak flow meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0824","description":"Power wheelchair, group 2 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >34.15 & Motor <42.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0702","description":"Fracture of lower extremity with Motor >34.15 & Motor <42.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental gradient pressure pneumatic appliance, half leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0673","description":"Segmental gradient pressure pneumatic appliance, half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Burns with Motor >0.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2101","description":"Burns with Motor >0.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, calf rest/pad, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0995","description":"Wheelchair accessory, calf rest/pad, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1391","description":"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Procurement of donor sperm from sperm bank","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4026","description":"Procurement of donor sperm from sperm bank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gasket or seal, for use with prosthetic socket insert, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7700","description":"Gasket or seal, for use with prosthetic socket insert, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day care services, center-based; services not included in program fee, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5105","description":"Day care services, center-based; services not included in program fee, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0669","description":"Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Y set tubing for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4719","description":"Y set tubing for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6254","description":"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bathtub rail, floor base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0242","description":"Bathtub rail, floor base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, longitudinal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3040","description":"Foot, arch support, removable, premolded, longitudinal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, convert instep to Velcro closure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3580","description":"Orthopedic shoe addition, convert instep to Velcro closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4221","description":"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8500","description":"Artificial larynx, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4024","description":"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement lens shield cartridge for use with laser skin piercing device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4257","description":"Replacement lens shield cartridge for use with laser skin piercing device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5008","description":"Hearing screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LE PROSTHES OI EXTRNL PROS CONN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5991","description":"ADD LE PROSTHES OI EXTRNL PROS CONN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter/stage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0341","description":"Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter/stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9542","description":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cough stimulating device, alternating positive and negative airway pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0482","description":"Cough stimulating device, alternating positive and negative airway pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MICROLYTE PAINGUARD PR SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2040","description":"MICROLYTE PAINGUARD PR SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5984","description":"All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2220","description":"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Youth sized disposable incontinence product, brief/diaper, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4533","description":"Youth sized disposable incontinence product, brief/diaper, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2215","description":"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physician management of patient home care, episodic care monthly case rate (per 30 days)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0272","description":"Physician management of patient home care, episodic care monthly case rate (per 30 days)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4016","description":"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4528","description":"Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Frozen in vitro fertilization cycle, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4016","description":"Frozen in vitro fertilization cycle, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5816","description":"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4331","description":"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to spinal orthotic, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0999","description":"Addition to spinal orthotic, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4619","description":"Face tent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2205","description":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIROTRACT MATRIX SHEET","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2029","description":"MIROTRACT MATRIX SHEET","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222","description":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9376","description":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2348","description":"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Casting supplies, body cast adult, with or without head, plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4001","description":"Casting supplies, body cast adult, with or without head, plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REVITALON PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4157","description":"REVITALON PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0859","description":"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, passive restoration (shoulder cap only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6370","description":"Interscapular thoracic, passive restoration (shoulder cap only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test, hormone level; during menopause","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3650","description":"Saliva test, hormone level; during menopause","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, antitipping device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0971","description":"Manual wheelchair accessory, antitipping device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sterile dilutant for epoprostenol, 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0155","description":"Sterile dilutant for epoprostenol, 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler, gel/paste, per fl oz, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6261","description":"Wound filler, gel/paste, per fl oz, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spoke protectors, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0065","description":"Spoke protectors, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinary suspensory with leg bag, with or without tube, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5105","description":"Urinary suspensory with leg bag, with or without tube, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5781","description":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Complete cycle, gamete intrafallopian transfer (GIFT), case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4013","description":"Complete cycle, gamete intrafallopian transfer (GIFT), case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9330","description":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrodes (e.g., apnea monitor), per pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556","description":"Electrodes (e.g., apnea monitor), per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2206","description":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6460","description":"Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement soft interface material/cuffs for bi-directional static progressive stretch device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1821","description":"Replacement soft interface material/cuffs for bi-directional static progressive stretch device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, monaural, body worn, air conduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5030","description":"Hearing aid, monaural, body worn, air conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electron beam computed tomography (also known as ultrafast CT, cine CT)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8092","description":"Electron beam computed tomography (also known as ultrafast CT, cine CT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4199","description":"PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC DIGIT MECHANICAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6035","description":"PROSTHETIC DIGIT MECHANICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0805","description":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, Thomas with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3465","description":"Heel, Thomas with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2035","description":"Knee-ankle-foot orthotic (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RAD BU NON INV INTRFC NSL/FAC MASK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0471","description":"RAD BU NON INV INTRFC NSL/FAC MASK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOT SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0634","description":"LUMB-SAC ORTHOT SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Negative pressure wound therapy electrical pump, stationary or portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2402","description":"Negative pressure wound therapy electrical pump, stationary or portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7045","description":"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pail or pan for use with commode chair, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0167","description":"Pail or pan for use with commode chair, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >34.35 & Motor <44.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0902","description":"Other orthopedic with Motor >34.35 & Motor <44.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1904","description":"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4019","description":"Cast supplies, long arm splint, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2207","description":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT MAN AUT VOL ANY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5657","description":"ADD LOW EXT MAN AUT VOL ANY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Presbyopia correcting function of intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2788","description":"Presbyopia correcting function of intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0112","description":"Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2520","description":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Customized durable medical equipment, other than wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0900","description":"Customized durable medical equipment, other than wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2629","description":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EX PROSTHES LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6698","description":"ADD UP EX PROSTHES LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age >83.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0803","description":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age >83.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, foam caster tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2389","description":"Power wheelchair accessory, foam caster tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9537","description":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4045","description":"Cast supplies, short leg splint, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2055","description":"Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, hydrophilic, spherical, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2520","description":"Contact lens, hydrophilic, spherical, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2080","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4433","description":"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control belt, light","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5692","description":"Addition to lower extremity, above knee, pelvic control belt, light","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma valve, including diaphragm, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7501","description":"Tracheostoma valve, including diaphragm, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Powered air overlay for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0372","description":"Powered air overlay for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0813","description":"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Masters 2 step","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3904","description":"Masters 2 step","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6890","description":"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Not otherwise classified, single vision lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2199","description":"Not otherwise classified, single vision lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"VBAC (vaginal birth after cesarean) classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9439","description":"VBAC (vaginal birth after cesarean) classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2607","description":"Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; patient attendant/escort","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2001","description":"Nonemergency transportation; patient attendant/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contracts, repair and maintenance, for hemodialysis equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4890","description":"Contracts, repair and maintenance, for hemodialysis equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; 2 ART GFT&1 VENUS GFT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2209","description":"MIN INVASV DIR CAB SURG; 2 ART GFT&1 VENUS GFT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3923","description":"HAND FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO), scoliosis orthotic, cover for upright, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1120","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO), scoliosis orthotic, cover for upright, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame/table system, mobile (dynamic stander), any size including pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0642","description":"Standing frame/table system, mobile (dynamic stander), any size including pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oscillatory positive expiratory pressure device, nonelectric, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0484","description":"Oscillatory positive expiratory pressure device, nonelectric, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, molded inner boot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2280","description":"Addition to lower extremity, molded inner boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction frame, attached to footboard, extremity traction (e.g., Buck's)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0870","description":"Traction frame, attached to footboard, extremity traction (e.g., Buck's)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Serum clotting time tube, for dialysis, per 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4771","description":"Serum clotting time tube, for dialysis, per 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1084","description":"Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RAD BACKUP INV INTRFC TRACH TUBE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0472","description":"RAD BACKUP INV INTRFC TRACH TUBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity orthotic, sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3995","description":"Addition to upper extremity orthotic, sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, hip disarticulation, including hip joint, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5702","description":"Replacement, socket, hip disarticulation, including hip joint, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rocking bed, with or without side rails","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0462","description":"Rocking bed, with or without side rails","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty shock absorber for heavy-duty or extra heavy-duty power wheelchair, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1018","description":"Heavy-duty shock absorber for heavy-duty or extra heavy-duty power wheelchair, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2212","description":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel wedge, SACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3340","description":"Heel wedge, SACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prehensile actuator, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7040","description":"Prehensile actuator, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8691","description":"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, nonpectin-based, paste, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4405","description":"Ostomy skin barrier, nonpectin-based, paste, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dose optimization by area under the curve (AUC) analysis, for infusional 5-fluorouracil","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3722","description":"Dose optimization by area under the curve (AUC) analysis, for infusional 5-fluorouracil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention mental health services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9485","description":"Crisis intervention mental health services, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, waist belt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2190","description":"Addition to lower extremity fracture orthotic, waist belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, multidurometer Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5661","description":"Addition to lower extremity, socket insert, multidurometer Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6646","description":"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5274","description":"Assistive listening device, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6218","description":"Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture, frame, dual with cross bars, attached to bed, (e.g., Balken, 4 Poster)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0946","description":"Fracture, frame, dual with cross bars, attached to bed, (e.g., Balken, 4 Poster)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable wrist extension/flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1805","description":"Dynamic adjustable wrist extension/flexion device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing system, binaural, itc/bte","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5215","description":"Hearing aid, contralateral routing system, binaural, itc/bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Patten bottom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2370","description":"Addition to lower extremity, Patten bottom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter/stage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0340","description":"Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter/stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5639","description":"Addition to lower extremity, below knee, wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, neonatal transport, base rate, emergency transport, one way","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0225","description":"Ambulance service, neonatal transport, base rate, emergency transport, one way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2210","description":"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lomustine, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0178","description":"Lomustine, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Diaper service, reusable diaper, each diaper","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4538","description":"Diaper service, reusable diaper, each diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, user adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5990","description":"Addition to lower extremity prosthesis, user adjustable heel height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air mileage, per statute mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0435","description":"Fixed wing air mileage, per statute mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, latex suspension sleeve, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6632","description":"Upper extremity addition, latex suspension sleeve, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, full kneecap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2795","description":"Addition to lower extremity orthotic, knee control, full kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change AK or knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5420","description":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change AK or knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen tent, excluding croup or pediatric tents","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0455","description":"Oxygen tent, excluding croup or pediatric tents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stockings thigh length, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4495","description":"Surgical stockings thigh length, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, plastic socket, joints and thigh lacer, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5105","description":"Below knee, plastic socket, joints and thigh lacer, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home health aide or certified nurse assistant, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1021","description":"Home health aide or certified nurse assistant, per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy for postoperative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2342","description":"Nasal endoscopy for postoperative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6253","description":"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, plating chrome or nickel, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2750","description":"Addition to lower extremity orthotic, plating chrome or nickel, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast pump, electric (AC and/or DC), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"VR REAL CBT INCL PP TX SOFTWARE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1905","description":"VR REAL CBT INCL PP TX SOFTWARE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PART HAND FINGER METACAR AMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6028","description":"PART HAND FINGER METACAR AMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5704","description":"Custom shaped protective cover, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG SP LNR UP EXT ANY SZ/L E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6595","description":"GD CMP BDG SP LNR UP EXT ANY SZ/L E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1950","description":"Ankle-foot orthotic (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sorbent cartridges, for hemodialysis, per 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1636","description":"Sorbent cartridges, for hemodialysis, per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or ProMatrX, 0.36 mg per 0.25 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4174","description":"PalinGen or ProMatrX, 0.36 mg per 0.25 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Coma stimulation per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9056","description":"Coma stimulation per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM, direct audio input receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5285","description":"Assistive listening device, personal FM/DM, direct audio input receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0465","description":"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4531","description":"Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5618","description":"Addition to lower extremity, test socket, Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, PTB brim design socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5632","description":"Addition to lower extremity, Symes type, PTB brim design socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0806","description":"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5298","description":"Hearing aid, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water collection device, used with large volume nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7012","description":"Water collection device, used with large volume nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Topographic brain mapping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8040","description":"Topographic brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CHELATION;  PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9355","description":"HOME INFUSION THERAPY CHELATION;  PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSANAL IRRIGATION ANY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4459","description":"TRANSANAL IRRIGATION ANY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5013","description":"5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, recline only, without shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1003","description":"Wheelchair accessory, power seating system, recline only, without shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of a Phase I clinical trial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9988","description":"Services provided as part of a Phase I clinical trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 27 nonsealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2372","description":"Power wheelchair accessory, group 27 nonsealed lead acid battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6453","description":"Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5503","description":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9110","description":"Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace girdle for spinal orthotic (cervical-thoracic-lumbar-sacral orthotic (CTLSO) or spinal orthotic SO)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4000","description":"Replace girdle for spinal orthotic (cervical-thoracic-lumbar-sacral orthotic (CTLSO) or spinal orthotic SO)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Polycarbonate bottle for use with breast pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4285","description":"Polycarbonate bottle for use with breast pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, soft, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2112","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, soft, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Peak expiratory flow rate meter, hand held","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4614","description":"Peak expiratory flow rate meter, hand held","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, suspension sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2397","description":"Addition to lower extremity orthotic, suspension sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, extended steel shank","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2360","description":"Addition to lower extremity, extended steel shank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic medication compliance management device, includes all components and accessories, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1505","description":"Electronic medication compliance management device, includes all components and accessories, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0891","description":"Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DTACHABLE NONADJ HT ARMREST REPL EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0015","description":"DTACHABLE NONADJ HT ARMREST REPL EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chore services; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5121","description":"Chore services; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6210","description":"Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BG ROLL EL MD STR P/LN Y W E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6598","description":"GD CMP BG ROLL EL MD STR P/LN Y W E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Anterior chamber intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2630","description":"Anterior chamber intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for sickle cell anemia","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3850","description":"Genetic testing for sickle cell anemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator electrode, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8680","description":"Implantable neurostimulator electrode, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance cholangiopancreatography (MRCP)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8037","description":"Magnetic resonance cholangiopancreatography (MRCP)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8040","description":"Nasal prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinal; male, jug-type, any material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0325","description":"Urinal; male, jug-type, any material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1090","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy supply; miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4421","description":"Ostomy supply; miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Footrest, upper hanger bracket, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0044","description":"Footrest, upper hanger bracket, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CNSL&DISCUSS ADV DIRCTV/EOL CARE PT&/SURROGATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0257","description":"CNSL&DISCUSS ADV DIRCTV/EOL CARE PT&/SURROGATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; with barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5051","description":"Ostomy pouch, closed; with barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT LOW EXT SENS PROSTHE MEC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8720","description":"EXT LOW EXT SENS PROSTHE MEC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, passive hand/mitt, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6703","description":"Terminal device, passive hand/mitt, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), full corset","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0974","description":"Thoracic-lumbar-sacral orthotic (TLSO), full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training to home care client, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5109","description":"Home care training to home care client, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for Von Hippel-Lindau disease","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3842","description":"Genetic testing for Von Hippel-Lindau disease","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0485","description":"Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, prevocational, waiver; per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2015","description":"Habilitation, prevocational, waiver; per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6714","description":"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scale, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1639","description":"Scale, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophageal voice prosthesis, patient inserted, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8507","description":"Tracheo-esophageal voice prosthesis, patient inserted, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1035","description":"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4300","description":"Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, modification, addition or transfer, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3649","description":"Orthopedic shoe, modification, addition or transfer, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oximeter device for measuring blood oxygen levels noninvasively","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0445","description":"Oximeter device for measuring blood oxygen levels noninvasively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case management; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2023","description":"Targeted case management; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0506","description":"Non-traumatic spinal cord injury with Motor <23.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4154","description":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG LW DENS CH FM P/250SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6603","description":"GD CMP BDG LW DENS CH FM P/250SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy form","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8020","description":"Breast prosthesis, mastectomy form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel or elbow protector, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0191","description":"Heel or elbow protector, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel loop/holder, any type, with or without ankle strap, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0951","description":"Heel loop/holder, any type, with or without ankle strap, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair van, mileage, per mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0209","description":"Wheelchair van, mileage, per mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9558","description":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable analog, monaural, CIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5244","description":"Hearing aid, digitally programmable analog, monaural, CIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9123","description":"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when CPT codes 99500-99602 can be used)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, limited motion knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2184","description":"Addition to lower extremity fracture orthotic, limited motion knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, thoracic band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2660","description":"Addition to lower extremity, thoracic control, thoracic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0162","description":"Sitz bath chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, knee joints, polycentric, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5677","description":"Additions to lower extremity, below knee, knee joints, polycentric, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Accessory, arm trough, with or without hand support, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2209","description":"Accessory, arm trough, with or without hand support, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing, sterile, size more than 48 sq in, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6023","description":"Collagen dressing, sterile, size more than 48 sq in, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6940","description":"ELB DISARTIC OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Belt, strap, sleeve, garment, or covering, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4467","description":"Belt, strap, sleeve, garment, or covering, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8603","description":"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"School-based individualized education program (IEP) services, bundled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1018","description":"School-based individualized education program (IEP) services, bundled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulation (TENS) device, 4 or more leads, for multiple nerve stimulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730","description":"Transcutaneous electrical nerve stimulation (TENS) device, 4 or more leads, for multiple nerve stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0628","description":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2782","description":"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of a Phase II clinical trial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9990","description":"Services provided as part of a Phase II clinical trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RESTRATA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2007","description":"RESTRATA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stimulator for scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0744","description":"Neuromuscular stimulator for scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, supported employment, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2018","description":"Habilitation, supported employment, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, for use on faceplate, rubber, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4383","description":"Ostomy pouch, urinary, for use on faceplate, rubber, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8430","description":"Prosthetic sock, multiple ply, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5280","description":"Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic belt/harness/boot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0944","description":"Pelvic belt/harness/boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4028","description":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5822","description":"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8420","description":"Prosthetic sock, multiple ply, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GRMNT TORSO&SHLDR EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6568","description":"GRADIENT COMPR GRMNT TORSO&SHLDR EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROG TR PO ING CAP USE EXT PROG PM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9269","description":"PROG TR PO ING CAP USE EXT PROG PM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, multiaxial ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5978","description":"All lower extremity prostheses, foot, multiaxial ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RX DIG COG&/BT FDA-CLRD PER CRS TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9291","description":"RX DIG COG&/BT FDA-CLRD PER CRS TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; encounter/trip","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2003","description":"Nonemergency transportation; encounter/trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable, binaural, BTE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5253","description":"Hearing aid, digitally programmable, binaural, BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9346","description":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive contact lens evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0592","description":"Comprehensive contact lens evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor <28.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0704","description":"Fracture of lower extremity with Motor <28.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge for use in insulin delivery device other than pump; 300 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5566","description":"Insulin cartridge for use in insulin delivery device other than pump; 300 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care services; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5126","description":"Attendant care services; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Low density lipoprotein (LDL) apheresis using heparin-induced extracorporeal LDL precipitation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2120","description":"Low density lipoprotein (LDL) apheresis using heparin-induced extracorporeal LDL precipitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Drug or biological, not otherwise classified, Part B drug competitive acquisition program (CAP)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4082","description":"Drug or biological, not otherwise classified, Part B drug competitive acquisition program (CAP)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0500","description":"IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PREFAB OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1952","description":"AFO SPIRAL PREFAB OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), corset front","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0970","description":"Thoracic-lumbar-sacral orthotic (TLSO), corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic or other material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1930","description":"Ankle-foot orthotic (AFO), plastic or other material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0080","description":"Nonemergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral nutrition infusion pump, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002","description":"Enteral nutrition infusion pump, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2359","description":"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tub stool or bench","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0245","description":"Tub stool or bench","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, waist length, 30-40 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6540","description":"Gradient compression stocking, waist length, 30-40 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9810","description":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive <18.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0103","description":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive <18.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5570","description":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examination; clinical breast examination without pelvic evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0613","description":"Annual gynecological examination; clinical breast examination without pelvic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS/PASS SHOULDER DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1841","description":"SPS/PASS SHOULDER DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5624","description":"Addition to lower extremity, test socket, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Astigmatism correcting function of intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2787","description":"Astigmatism correcting function of intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0821","description":"Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SYMPHONY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2009","description":"SYMPHONY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood pump for hemodialysis, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1620","description":"Blood pump for hemodialysis, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable analog, monaural, ITE (in the ear)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5246","description":"Hearing aid, digitally programmable analog, monaural, ITE (in the ear)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in \"remarks\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1999","description":"Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in \"remarks\"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HF CW OS SYS TH REG REC SIM EX OS Q","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0483","description":"HF CW OS SYS TH REG REC SIM EX OS Q","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0390","description":"Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procurement and cryopreservation services; initial visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4030","description":"Sperm procurement and cryopreservation services; initial visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0424","description":"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter; Foley type, 3-way for continuous irrigation, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4346","description":"Indwelling catheter; Foley type, 3-way for continuous irrigation, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; with barrier attached, (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5061","description":"Ostomy pouch, drainable; with barrier attached, (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT GLV PADDED NT USE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6520","description":"GRAD COMPR GMT GLV PADDED NT USE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXT LOW EXT NERVE STIMU RLS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0743","description":"EXT LOW EXT NERVE STIMU RLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Small volume nonfiltered pneumatic nebulizer, disposable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7004","description":"Small volume nonfiltered pneumatic nebulizer, disposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1250","description":"Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3650","description":"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2103","description":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Global fee urgent care centers","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Truss, addition to standard pad, water pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8320","description":"Truss, addition to standard pad, water pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, pneumatic caster tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2214","description":"Manual wheelchair accessory, pneumatic caster tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, longitudinal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3070","description":"Foot, arch support, nonremovable, attached to shoe, longitudinal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, waist length, 18-30 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6539","description":"Gradient compression stocking, waist length, 18-30 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compressor, air power source for equipment which is not self-contained or cylinder driven","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0565","description":"Compressor, air power source for equipment which is not self-contained or cylinder driven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physical or manipulative therapy performed for maintenance rather than restoration","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8990","description":"Physical or manipulative therapy performed for maintenance rather than restoration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6251","description":"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ammonia test strips, for dialysis, per 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4774","description":"Ammonia test strips, for dialysis, per 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to terminal device, modifier wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6805","description":"Addition to terminal device, modifier wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, adolescent, Variety Village or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7185","description":"Electronic elbow, adolescent, Variety Village or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2624","description":"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch, underarm, articulating, spring assisted, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0117","description":"Crutch, underarm, articulating, spring assisted, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure pad for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0198","description":"Water pressure pad for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy filter, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4368","description":"Ostomy filter, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7402","description":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, rapid onset, 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5550","description":"Insulin, rapid onset, 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Seat, planar, for pediatric size wheelchair including fixed attaching hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2292","description":"Seat, planar, for pediatric size wheelchair including fixed attaching hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2211","description":"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0841","description":"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, single axis ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5974","description":"All lower extremity prostheses, foot, single axis ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor >36.25 & Motor <47.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1002","description":"Amputation, lower extremity with Motor >36.25 & Motor <47.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor >35.95.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1901","description":"Guillian Barre with Motor >35.95.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0806","description":"Replacement of lower extremity joint with Motor <22.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), inclusive of furnishing initial orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1200","description":"Thoracic-lumbar-sacral orthotic (TLSO), inclusive of furnishing initial orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug, generic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5000","description":"Prescription drug, generic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket, flexible elbow hinge, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6100","description":"Below elbow, molded socket, flexible elbow hinge, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2225","description":"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vision supply, accessory and/or service component of another HCPCS vision code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2797","description":"Vision supply, accessory and/or service component of another HCPCS vision code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High-strength lightweight wheelchair, fixed-length arms, swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1089","description":"High-strength lightweight wheelchair, fixed-length arms, swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special height arms for wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1227","description":"Special height arms for wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1260","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9474","description":"Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0295","description":"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9326","description":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MICROLYTE MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2005","description":"MICROLYTE MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Microsurgical epididymal sperm aspiration (MESA)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4028","description":"Microsurgical epididymal sperm aspiration (MESA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIT TIP EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIT TIP EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonpowered advanced pressure reducing mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0373","description":"Nonpowered advanced pressure reducing mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Splint, prefabricated, digit (specify digit by use of modifier)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8450","description":"Splint, prefabricated, digit (specify digit by use of modifier)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction stand, freestanding, cervical traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0850","description":"Traction stand, freestanding, cervical traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer, with compressor and heater","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0585","description":"Nebulizer, with compressor and heater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3900","description":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy mask, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7525","description":"Tracheostomy mask, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3930","description":"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6628","description":"Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator, pulse generator, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8679","description":"Implantable neurostimulator, pulse generator, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST ANKLE FLEXION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1823","description":"ADJUST ANKLE FLEXION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >34.25 & Motor <38.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0105","description":"Stroke with Motor >34.25 & Motor <38.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, wheel lock brake extension (handle), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0961","description":"Manual wheelchair accessory, wheel lock brake extension (handle), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2510","description":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor >37.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1201","description":"Osteoarthritis with Motor >37.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary closing, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6722","description":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary closing, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), with filter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4413","description":"Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), with filter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CELERA D L/CELERA D MEMB PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4259","description":"CELERA D L/CELERA D MEMB PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, chin strap, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6502","description":"Compression burn garment, chin strap, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3677","description":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor <16.05 & Age >63.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0404","description":"Traumatic spinal cord injury with Motor <16.05 & Age >63.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric hook, switch or myoelectric controlled, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7045","description":"Electric hook, switch or myoelectric controlled, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1006","description":"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD EXO KN-SHIN PC FRICT SWG CNTRL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5718","description":"ADD EXO KN-SHIN PC FRICT SWG CNTRL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9180","description":"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD CMP WR NONELS BK 30-50MM SRG EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6545","description":"GRD CMP WR NONELS BK 30-50MM SRG EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tourniquet for dialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4929","description":"Tourniquet for dialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Services provided outside of the United States of America (list in addition to code(s) for services(s))","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9989","description":"Services provided outside of the United States of America (list in addition to code(s) for services(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB SURG; 1 ART&VEN GFT 1 VEN GFT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2208","description":"MIN INVAS DIR CAB SURG; 1 ART&VEN GFT 1 VEN GFT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0406","description":"Traumatic spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0011","description":"Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory suction pump, home model, portable or stationary, electric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0600","description":"Respiratory suction pump, home model, portable or stationary, electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0858","description":"Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, tip, cane, crutch, walker, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4637","description":"Replacement, tip, cane, crutch, walker, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWC GP 1 STD CAP CHAIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0816","description":"PWC GP 1 STD CAP CHAIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot, each, junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3211","description":"Surgical boot, each, junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6213","description":"Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PART HAND FINGER DISTAL AMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6034","description":"PART HAND FINGER DISTAL AMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >47.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0601","description":"Neurological with Motor >47.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, brief/diaper, extra large, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4524","description":"Adult sized disposable incontinence product, brief/diaper, extra large, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Splint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4570","description":"Splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2112","description":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8509","description":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; taxi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0100","description":"Nonemergency transportation; taxi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dome and mouthpiece, used with small volume ultrasonic nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7016","description":"Dome and mouthpiece, used with small volume ultrasonic nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, shoulder harness","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5699","description":"All lower extremity prostheses, shoulder harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoesophageal puncture dilator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8514","description":"Tracheoesophageal puncture dilator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3500","description":"Orthopedic shoe addition, insole, leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8485","description":"Prosthetic sock, single ply, fitting, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe item, patient aware (list in addition to code for basic item)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1001","description":"Deluxe item, patient aware (list in addition to code for basic item)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOTIC RIGD/SEMI-RIGD PANELS CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0624","description":"SACROILIAC ORTHOTIC RIGD/SEMI-RIGD PANELS CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace nonmolded thigh lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4045","description":"Replace nonmolded thigh lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5504","description":"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve), ready made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8424","description":"Gradient pressure aid (sleeve), ready made","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L9900","description":"Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive supply, condom, female, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4268","description":"Contraceptive supply, condom, female, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4414","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MATRIDERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2027","description":"MATRIDERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0870","description":"Power wheelchair, group 4 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine (ddI), 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0137","description":"Didanosine (ddI), 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1092","description":"Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR SRC&CTRL ELC ORL D NEUR ELC TNG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0492","description":"PWR SRC&CTRL ELC ORL D NEUR ELC TNG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, hydrophilic, extended wear, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2523","description":"Contact lens, hydrophilic, extended wear, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lower-lower extremity with motor score from 12 -37.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1103","description":"Lower-lower extremity with motor score from 12 -37.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to mobile arm support, elevating proximal arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2631","description":"Wheelchair accessory, addition to mobile arm support, elevating proximal arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7522","description":"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEUM SEQ COMPRES GRMNT FULL LEG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0678","description":"NONPNEUM SEQ COMPRES GRMNT FULL LEG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0733","description":"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5600","description":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bars, also known as Patient Helper, attached to bed, with grab bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0910","description":"Trapeze bars, also known as Patient Helper, attached to bed, with grab bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2B, 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0148","description":"Injection, pegylated interferon alfa-2B, 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Polycarbonate lens (list this code in addition to the basic code for the lens)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0580","description":"Polycarbonate lens (list this code in addition to the basic code for the lens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4038","description":"Cast supplies, short leg cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, alerting, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5269","description":"Assistive listening device, alerting, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hygienic item or device, disposable or non-disposable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9286","description":"Hygienic item or device, disposable or non-disposable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve and glove combination), custom made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8420","description":"Gradient pressure aid (sleeve and glove combination), custom made","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0770","description":"Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol mask, used with DME nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7015","description":"Aerosol mask, used with DME nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5, comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0110","description":"Stroke with Motor <22.35 & Age <84.5, comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Extremity belt/harness","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0945","description":"Extremity belt/harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wearable artificial kidney, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1632","description":"Wearable artificial kidney, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4373","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0622","description":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5810","description":"Addition, endoskeletal knee-shin system, single axis, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4555","description":"Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPLIES & ACC LF US DIA TX DVC PM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1036","description":"SUPPLIES & ACC LF US DIA TX DVC PM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate concentrate, powder, additive for peritoneal dialysis, per packet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4765","description":"Dialysate concentrate, powder, additive for peritoneal dialysis, per packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2302","description":"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER 15 MINUTES","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1019","description":"PERSONAL CARE SERVICES PER 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, residential, waiver; 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2017","description":"Habilitation, residential, waiver; 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood harvesting for transplantation, allogeneic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2140","description":"Cord blood harvesting for transplantation, allogeneic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical records copying fee, per page","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9982","description":"Medical records copying fee, per page","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, monaural, BTE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5257","description":"Hearing aid, digital, monaural, BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT&COMP;","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2150","description":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT&COMP;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scleral lens, liquid bandage device, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0515","description":"Scleral lens, liquid bandage device, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power mobility device, not coded by DME PDAC or does not meet criteria","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0899","description":"Power mobility device, not coded by DME PDAC or does not meet criteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, gas permeable, extended wear, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2513","description":"Contact lens, gas permeable, extended wear, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with Motor >30.75 & Motor <37.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1202","description":"Osteoarthritis with Motor >30.75 & Motor <37.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical joint stimulation device system, includes all accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0762","description":"Transcutaneous electrical joint stimulation device system, includes all accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2386","description":"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor <16.05 & Age <63.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0405","description":"Traumatic spinal cord injury with Motor <16.05 & Age <63.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care, in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9126","description":"Hospice care, in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0441","description":"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, PMMA, toric or prism ballast, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2501","description":"Contact lens, PMMA, toric or prism ballast, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0102","description":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive >18.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4558","description":"Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, monaural, in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5050","description":"Hearing aid, monaural, in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, sole, half","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3530","description":"Orthopedic shoe addition, sole, half","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0260","description":"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubing, used with suction pump, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7002","description":"Tubing, used with suction pump, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5812","description":"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor >36.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1301","description":"Rheumatoid, other arthritis with Motor >36.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadrilateral socket brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4030","description":"Replace quadrilateral socket brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4039","description":"Cast supplies, short leg cast, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubing for breast pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4281","description":"Tubing for breast pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair with detachable arms, elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1224","description":"Wheelchair with detachable arms, elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with motor score from 12 -35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1304","description":"Rheumatoid, other arthritis with motor score from 12 -35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1990","description":"Ankle-foot orthotic (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5950","description":"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, elevating legrest, complete assembly, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0990","description":"Wheelchair accessory, elevating legrest, complete assembly, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip core decompression","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2325","description":"Hip core decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0852","description":"Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, wheel braking system and lock, complete, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2228","description":"Manual wheelchair accessory, wheel braking system and lock, complete, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0837","description":"Power wheelchair, group 2 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Scottish Rite type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1730","description":"Legg Perthes orthotic, (Scottish Rite type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stimulated intrauterine insemination (IUI), case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4035","description":"Stimulated intrauterine insemination (IUI), case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, drop lock retainer, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2785","description":"Addition to lower extremity orthotic, drop lock retainer, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0439","description":"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2411","description":"Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR GARMNT NECK/HEAD CUST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6567","description":"GRAD COMPR GARMNT NECK/HEAD CUST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2070","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor >36.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1301","description":"Rheumatoid, other arthritis with Motor >36.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound cleansers, any type, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6260","description":"Wound cleansers, any type, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic adjustable forearm pronation/supination device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1802","description":"Dynamic adjustable forearm pronation/supination device, includes soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4015","description":"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Complete in vitro fertilization cycle, not otherwise specified, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4015","description":"Complete in vitro fertilization cycle, not otherwise specified, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation tray with bulb or piston syringe, any purpose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4320","description":"Irrigation tray with bulb or piston syringe, any purpose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot, each, infant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3208","description":"Surgical boot, each, infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6461","description":"Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Betadine or pHisoHex solution, per pint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4246","description":"Betadine or pHisoHex solution, per pint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame/table system, multi-position (e.g., 3-way stander), any size including pediatric, with or without wheels","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0641","description":"Standing frame/table system, multi-position (e.g., 3-way stander), any size including pediatric, with or without wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier; solid, 8 x 8 or equivalent, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5122","description":"Skin barrier; solid, 8 x 8 or equivalent, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPRATHEL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2012","description":"SUPRATHEL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1225","description":"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MOL DT RDR NONRX SA&SC USE FDA APRV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1035","description":"MOL DT RDR NONRX SA&SC USE FDA APRV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid other","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1305","description":"Rheumatoid other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0174","description":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9273","description":"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONPNEUM CMPR CNTRL WO CALIBR GRD P","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0681","description":"NONPNEUM CMPR CNTRL WO CALIBR GRD P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0190","description":"Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAP FOO CU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6516","description":"GRAD COM WRAP W STRAP FOO CU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transportation waiting time, air ambulance and nonemergency vehicle, one-half (1/2) hour increments","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2007","description":"Transportation waiting time, air ambulance and nonemergency vehicle, one-half (1/2) hour increments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, brief/diaper, medium, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4522","description":"Adult sized disposable incontinence product, brief/diaper, medium, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6677","description":"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Antireflective coating, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2750","description":"Antireflective coating, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONADJUNCTIVE NONIMPLANTED CGM/RECV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2103","description":"NONADJUNCTIVE NONIMPLANTED CGM/RECV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FOUND DRS SOLO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2034","description":"FOUND DRS SOLO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of small intestine and liver allografts","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2053","description":"Transplantation of small intestine and liver allografts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound filler, gel, per fl oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6248","description":"Hydrogel dressing, wound filler, gel, per fl oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthotic (KAFO), each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2387","description":"Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthotic (KAFO), each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Extension line with easy lock connectors, used with dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4673","description":"Extension line with easy lock connectors, used with dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair, adult size, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1038","description":"Transport chair, adult size, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REC CATH ANY TRANSANAL EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4453","description":"REC CATH ANY TRANSANAL EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, ventilator tray, gimbaled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1030","description":"Wheelchair accessory, ventilator tray, gimbaled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SOCKET INSERT W/O LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5679","description":"SOCKET INSERT W/O LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shunt accessory, for hemodialysis, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4740","description":"Shunt accessory, for hemodialysis, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for power wheelchair, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1016","description":"Shock absorber for power wheelchair, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5063","description":"Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1502","description":"Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2623","description":"Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp, without stand (table model), includes bulb, or infrared element","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0200","description":"Heat lamp, without stand (table model), includes bulb, or infrared element","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Expired, not orthopedic, length of stay is 16 days or more.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5104","description":"Expired, not orthopedic, length of stay is 16 days or more.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, supported employment, waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2019","description":"Habilitation, supported employment, waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELECTRO CONNECT BTW CONTROL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2310","description":"ELECTRO CONNECT BTW CONTROL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5501","description":"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST ELBOW EXTENSION DEV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1803","description":"ADJUST ELBOW EXTENSION DEV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6880","description":"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"VABRA aspirator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4480","description":"VABRA aspirator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3640","description":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp, with stand, includes bulb, or infrared element","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0205","description":"Heat lamp, with stand, includes bulb, or infrared element","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4103","description":"Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPLY ALW NONIMPL CGM  1 MO SP=1 UOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4239","description":"SPLY ALW NONIMPL CGM  1 MO SP=1 UOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6712","description":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9156","description":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin alfa, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0126","description":"Injection, follitropin alfa, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immersion external heater for nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1372","description":"Immersion external heater for nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, for use on faceplate, rubber, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4378","description":"Ostomy pouch, drainable, for use on faceplate, rubber, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS/PASS KNEE DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1811","description":"SPS/PASS KNEE DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4397","description":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen and water vapor enriching system without heated delivery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1406","description":"Oxygen and water vapor enriching system without heated delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXTRA AMB ATTENDANT GROUND/AIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0424","description":"EXTRA AMB ATTENDANT GROUND/AIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Press-on lens, Fresnel prism, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2718","description":"Press-on lens, Fresnel prism, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Temporary replacement for patient-owned equipment being repaired, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0462","description":"Temporary replacement for patient-owned equipment being repaired, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1510","description":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4162","description":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MatriStem micromatrix, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4118","description":"MatriStem micromatrix, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incomplete cycle, treatment cancelled prior to stimulation, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4017","description":"Incomplete cycle, treatment cancelled prior to stimulation, case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4382","description":"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paranasal sinus ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9024","description":"Paranasal sinus ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray with drainage bag but without catheter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4354","description":"Insertion tray with drainage bag but without catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0955","description":"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7405","description":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary closing, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6709","description":"Terminal device, hand, mechanical, voluntary closing, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contracted home health agency services, all services provided under contract, per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1022","description":"Contracted home health agency services, all services provided under contract, per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2102","description":"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel, tapered to metatarsals, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3300","description":"Lift, elevation, heel, tapered to metatarsals, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement strap, any orthotic, includes all components, any length, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4002","description":"Replacement strap, any orthotic, includes all components, any length, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive skin support attachment for use with external breast prosthesis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4280","description":"Adhesive skin support attachment for use with external breast prosthesis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion, 32 weeks or greater","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2267","description":"Induced abortion, 32 weeks or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spinal orthotic, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1499","description":"Spinal orthotic, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory setting substance abuse treatment or detoxification services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9475","description":"Ambulatory setting substance abuse treatment or detoxification services, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator, any type, used with noninvasive interface, (e.g., mask, chest shell)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0466","description":"Home ventilator, any type, used with noninvasive interface, (e.g., mask, chest shell)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Canister, nondisposable, used with suction pump, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7001","description":"Canister, nondisposable, used with suction pump, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM neck, loop induction receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5283","description":"Assistive listening device, personal FM/DM neck, loop induction receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, longitudinal/metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3060","description":"Foot, arch support, removable, premolded, longitudinal/metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable, analog, monaural, ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5245","description":"Hearing aid, digitally programmable, analog, monaural, ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Locking ring for breast pump, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4286","description":"Locking ring for breast pump, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1685","description":"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory traction device, all types, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0830","description":"Ambulatory traction device, all types, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Myringotomy, laser-assisted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2225","description":"Myringotomy, laser-assisted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition administration kit, per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4224","description":"Parenteral nutrition administration kit, per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Large size footplate, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0041","description":"Large size footplate, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"UE MED TUBING/LINE DVC RSTR ELB ROM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0711","description":"UE MED TUBING/LINE DVC RSTR ELB ROM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with integrated seat lift mechanism, electric, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0170","description":"Commode chair with integrated seat lift mechanism, electric, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or substance abuse services, treatment plan development and/or modification","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1007","description":"Alcohol and/or substance abuse services, treatment plan development and/or modification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUCTION PUMP EXT MGMT SYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2001","description":"SUCTION PUMP EXT MGMT SYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-implanted pelvic floor electrical stimulator, complete system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0740","description":"Non-implanted pelvic floor electrical stimulator, complete system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preadmission screening and resident review (PASRR) level II evaluation, per evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2011","description":"Preadmission screening and resident review (PASRR) level II evaluation, per evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6235","description":"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ballistocardiogram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3902","description":"Ballistocardiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DNA analysis for APOE epsilon 4 allele for susceptibility to Alzheimer's disease","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3852","description":"DNA analysis for APOE epsilon 4 allele for susceptibility to Alzheimer's disease","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5655","description":"Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3906","description":"Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior ASIS pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1250","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior ASIS pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure for miscellaneous prosthetic services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8499","description":"Unlisted procedure for miscellaneous prosthetic services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1190","description":"Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0300","description":"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9379","description":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5724","description":"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1180","description":"Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HT INTERMIT ANTICOAGULANT INJ TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9372","description":"HT INTERMIT ANTICOAGULANT INJ TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), abdominal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1270","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), abdominal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0886","description":"Power wheelchair, group 4 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >49.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1501","description":"Pulmonary with Motor >49.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood test strips, for dialysis, per 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4773","description":"Occult blood test strips, for dialysis, per 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACC PT INS ID IU DRN DVC V REPLC EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4342","description":"ACC PT INS ID IU DRN DVC V REPLC EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, adjustable shoe-styled positioning device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3160","description":"Foot, adjustable shoe-styled positioning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Temporary, absorbable lacrimal duct implant, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4262","description":"Temporary, absorbable lacrimal duct implant, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FEM URINARY CUP W/WO ATTCH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4318","description":"FEM URINARY CUP W/WO ATTCH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0835","description":"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5705","description":"Custom shaped protective cover, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day habilitation, waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2021","description":"Day habilitation, waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, sole, full","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3540","description":"Orthopedic shoe addition, sole, full","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5611","description":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7404","description":"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthotic (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3913","description":"Hand finger orthotic (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5160","description":"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Intrapulmonary percussive ventilation system and related accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0481","description":"Intrapulmonary percussive ventilation system and related accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1902","description":"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chore services; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5120","description":"Chore services; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5520","description":"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, waist belt, padded and lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5690","description":"Addition to lower extremity, below knee, waist belt, padded and lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO RIG ANT TIB TCF/= OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1933","description":"AFO RIG ANT TIB TCF/= OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, disposable underpad, small size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4542","description":"Incontinence product, disposable underpad, small size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6207","description":"Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4416","description":"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive supply, condom, male, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4267","description":"Contraceptive supply, condom, male, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4105","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digitally programmable analog, monaural, BTE (behind the ear)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5247","description":"Hearing aid, digitally programmable analog, monaural, BTE (behind the ear)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Eye pad, sterile, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6410","description":"Eye pad, sterile, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8605","description":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy-duty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0181","description":"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy-duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surface electromyography (EMG)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3900","description":"Surface electromyography (EMG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle, Symes, molded socket, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5050","description":"Ankle, Symes, molded socket, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheal suction catheter, any type other than closed system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4624","description":"Tracheal suction catheter, any type other than closed system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2204","description":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Phototherapy (bilirubin) light with photometer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0202","description":"Phototherapy (bilirubin) light with photometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pretibial shell, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2340","description":"Addition to lower extremity, pretibial shell, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthotic (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3671","description":"Shoulder orthotic (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3740","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2108","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film, sterile, more than 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6259","description":"Transparent film, sterile, more than 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, joint covers, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5678","description":"Additions to lower extremity, below knee, joint covers, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood collection tube, vacuum, for dialysis, per 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4770","description":"Blood collection tube, vacuum, for dialysis, per 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1840","description":"Knee orthotic (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1806","description":"Major multiple trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6198","description":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, lithium-based battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2397","description":"Power wheelchair accessory, lithium-based battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen accessory, flow regulator capable of positive inspiratory pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1352","description":"Oxygen accessory, flow regulator capable of positive inspiratory pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteogenesis stimulator, low intensity ultrasound, noninvasive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0760","description":"Osteogenesis stimulator, low intensity ultrasound, noninvasive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient education, not otherwise classified, nonphysician provider, group, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9446","description":"Patient education, not otherwise classified, nonphysician provider, group, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, hydrophilic, spherica","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2524","description":"Contact lens, hydrophilic, spherica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7508","description":"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4725","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, shank foot system with vertical loading pylon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5987","description":"All lower extremity prostheses, shank foot system with vertical loading pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, thigh lacer, nonmolded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5680","description":"Addition to lower extremity, below knee, thigh lacer, nonmolded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Donor services for in vitro fertilization (sperm or embryo), case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4025","description":"Donor services for in vitro fertilization (sperm or embryo), case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compressor, segmental home model without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651","description":"Pneumatic compressor, segmental home model without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elevating legrest, lower extension tube, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0046","description":"Elevating legrest, lower extension tube, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1290","description":"Heavy-duty wheelchair, detachable arms (desk or full-length) swing-away detachable footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Male vacuum erection system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7900","description":"Male vacuum erection system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0890","description":"Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5522","description":"Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0735","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gait trainer, pediatric size, anterior support, includes all accessories and components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E8002","description":"Gait trainer, pediatric size, anterior support, includes all accessories and components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device abutment, any length, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8693","description":"Auditory osseointegrated device abutment, any length, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn mask, face and/or neck, plastic or equal, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6513","description":"Compression burn mask, face and/or neck, plastic or equal, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor >38.75 & Motor <49.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2002","description":"Miscellaneous with Motor >38.75 & Motor <49.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded thigh lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4040","description":"Replace molded thigh lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Glasses, bone conduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5080","description":"Glasses, bone conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2207","description":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RECEPTOR SOLE L8720 REPLACE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8721","description":"RECEPTOR SOLE L8720 REPLACE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Moisture exchanger, disposable, for use with invasive mechanical ventilation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4483","description":"Moisture exchanger, disposable, for use with invasive mechanical ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5790","description":"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Betadine or iodine swabs/wipes, per box","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4247","description":"Betadine or iodine swabs/wipes, per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery cables; replacement for patient-owned ventilator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4612","description":"Battery cables; replacement for patient-owned ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Drive belt for power wheelchair, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0098","description":"Drive belt for power wheelchair, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMP ARM SLEEVE CUST HVY WT EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6577","description":"GRAD COMP ARM SLEEVE CUST HVY WT EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair seat cushion, powered","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2610","description":"Wheelchair seat cushion, powered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0746","description":"Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, folding, wheeled, adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0143","description":"Walker, folding, wheeled, adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1830","description":"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Twelve volt battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7364","description":"Twelve volt battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, foot to knee length, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6507","description":"Compression burn garment, foot to knee length, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection wheelchair seat cushion, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2603","description":"Skin protection wheelchair seat cushion, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2301","description":"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, molded socket, shin, SACH foot, endoskeletal system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5301","description":"Below knee, molded socket, shin, SACH foot, endoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal tissue transplant to brain","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2103","description":"Adrenal tissue transplant to brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthesis, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7499","description":"Upper extremity prosthesis, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2295","description":"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GLOVE CUST MED WT EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6579","description":"GRADIENT COMPR GLOVE CUST MED WT EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bed cradle, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0280","description":"Bed cradle, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Clubfoot wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3380","description":"Clubfoot wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHAIR HARDWARE HEADREST","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1033","description":"WHEELCHAIR HARDWARE HEADREST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >25.55 & Motor <31.05.,       without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1703","description":"Major multiple trauma without brain or spinal cord injury with Motor >25.55 & Motor <31.05.,       without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition infusion pump, portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9004","description":"Parenteral nutrition infusion pump, portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2384","description":"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing system, binaural, glasses","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5230","description":"Hearing aid, contralateral routing system, binaural, glasses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, reusable pen; 3 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5561","description":"Insulin delivery device, reusable pen; 3 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket (Muenster or Northwestern suspension types)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6110","description":"Below elbow, molded socket (Muenster or Northwestern suspension types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Truss, single with standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8300","description":"Truss, single with standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug, brand name","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5001","description":"Prescription drug, brand name","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialized supply, not otherwise specified, waiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2028","description":"Specialized supply, not otherwise specified, waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6244","description":"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0260","description":"History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable chair, for ESRD patients","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1570","description":"Adjustable chair, for ESRD patients","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, torsion control, ankle joint and half solid stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2375","description":"Addition to lower extremity, torsion control, ankle joint and half solid stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, caliper plate, existing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3600","description":"Transfer of an orthosis from one shoe to another, caliper plate, existing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3901","description":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mattress, foam rubber","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0272","description":"Mattress, foam rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5400","description":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMNT TOE CAPS EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6572","description":"GRADIENT COMPRESS GRMNT TOE CAPS EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Plastazote sandal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3265","description":"Plastazote sandal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8435","description":"Prosthetic sock, multiple ply, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with faceplate attached, rubber, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4376","description":"Ostomy pouch, drainable, with faceplate attached, rubber, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Homemaker service, NOS; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5131","description":"Homemaker service, NOS; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urine test or reagent strips or tablets (100 tablets or strips)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4250","description":"Urine test or reagent strips or tablets (100 tablets or strips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Partial hospitalization services, less than 24 hours, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0201","description":"Partial hospitalization services, less than 24 hours, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sheath, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8415","description":"Prosthetic sheath, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, other extremity with Motor <36.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1102","description":"Amputation, other extremity with Motor <36.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive supply, spermicide (e.g., foam, gel), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4269","description":"Contraceptive supply, spermicide (e.g., foam, gel), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair component, actuator, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2378","description":"Power wheelchair component, actuator, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4235","description":"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of levonorgestrel-releasing intrauterine system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4981","description":"Insertion of levonorgestrel-releasing intrauterine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Continent device, stoma absorptive cover for continent stoma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5083","description":"Continent device, stoma absorptive cover for continent stoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1910","description":"Ankle-foot orthotic (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM receiver, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5287","description":"Assistive listening device, personal FM/DM receiver, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAPS AK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6585","description":"GRAD COM WRAP W STRAPS AK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, one-arm drive attachment, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0958","description":"Manual wheelchair accessory, one-arm drive attachment, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6239","description":"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Burns with motor score from 12 -45.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2102","description":"Burns with motor score from 12 -45.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Intensive outpatient psychiatric services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9480","description":"Intensive outpatient psychiatric services, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1660","description":"Hip orthotic (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, freestanding, complete with grab bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0912","description":"Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, freestanding, complete with grab bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Binaural, body","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5120","description":"Binaural, body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2351","description":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM system, monaural (1 receiver, transmitter, microphone), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5281","description":"Assistive listening device, personal FM/DM system, monaural (1 receiver, transmitter, microphone), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9153","description":"Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, shoe insert with longitudinal arch, toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5000","description":"Partial foot, shoe insert with longitudinal arch, toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2632","description":"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor >47.65.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1001","description":"Amputation, lower extremity with Motor >47.65.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Storage of previously frozen embryos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4027","description":"Storage of previously frozen embryos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for self-administered injections","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4211","description":"Supplies for self-administered injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"High frequency chest wall oscillation system vest, replacement for use with patient-owned equipment, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7025","description":"High frequency chest wall oscillation system vest, replacement for use with patient-owned equipment, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5968","description":"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution test kit, for peritoneal dialysis, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4760","description":"Dialysate solution test kit, for peritoneal dialysis, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Arm pad, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0019","description":"Arm pad, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4311","description":"Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6713","description":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4040","description":"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, variable height, hi-lo, without side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0293","description":"Hospital bed, variable height, hi-lo, without side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5508","description":"For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0807","description":"Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2313","description":"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOTIC FLEXIBLE CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOTIC FLEXIBLE CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4430","description":"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, special extension to instep (leather with eyelets)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3570","description":"Orthopedic shoe addition, special extension to instep (leather with eyelets)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4426","description":"Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1172","description":"Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2222","description":"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4155","description":"ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0285","description":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Water circulating heat pad with pump","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0217","description":"Water circulating heat pad with pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0849","description":"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SLEEVE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SLEEVE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Treatment planning and care coordination management for cancer established patient with a change of regimen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0354","description":"Treatment planning and care coordination management for cancer established patient with a change of regimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STK WAIST L 40MMHG OR< CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6564","description":"GD CMP STK WAIST L 40MMHG OR< CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0700","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2105","description":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4180","description":"Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >53.35 & Cognitive >23.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0201","description":"Traumatic brain injury with Motor >53.35 & Cognitive >23.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Full face mask used with positive airway pressure device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7030","description":"Full face mask used with positive airway pressure device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, back check (extension control)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5686","description":"Addition to lower extremity, below knee, back check (extension control)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PALINGEN/PALINGEN XPLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4173","description":"PALINGEN/PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Reaching/grabbing device, any type, any length, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9281","description":"Reaching/grabbing device, any type, any length, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Male external catheter, with or without adhesive, disposable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4349","description":"Male external catheter, with or without adhesive, disposable, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0802","description":"Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Clinic visit/encounter, all-inclusive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1015","description":"Clinic visit/encounter, all-inclusive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1195","description":"Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0879","description":"Power wheelchair, group 4 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5312","description":"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8608","description":"Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMPR GMT ARM PAD FOR NT USE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6522","description":"GRAD CMPR GMT ARM PAD FOR NT USE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOM INJ TX PALIVIZUMAB W/ADMN PHRM CARE-PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9562","description":"HOM INJ TX PALIVIZUMAB W/ADMN PHRM CARE-PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADHESIVE CLIP EXT ENS CONTROL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4438","description":"ADHESIVE CLIP EXT ENS CONTROL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, foot to thigh length, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6508","description":"Compression burn garment, foot to thigh length, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >31.15 & Motor <38.55.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1403","description":"Cardiac with Motor >31.15 & Motor <38.55.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRFX P GRFXPL P STRVX & STRVXPL SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4133","description":"GRFX P GRFXPL P STRVX & STRVXPL SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, new leather, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3455","description":"Heel, new leather, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonstandard lens (list this code in addition to the basic code for the lens)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0581","description":"Nonstandard lens (list this code in addition to the basic code for the lens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9359","description":"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prism, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2715","description":"Prism, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Camisole, postmastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8460","description":"Camisole, postmastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3670","description":"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, stainless steel, any wrist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6630","description":"Upper extremity addition, stainless steel, any wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral interface used with positive airway pressure device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7044","description":"Oral interface used with positive airway pressure device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, caster fork, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2396","description":"Power wheelchair accessory, caster fork, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3702","description":"Elbow orthotic (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1805","description":"Major multiple trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch attachment, walker, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0157","description":"Crutch attachment, walker, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2106","description":"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Respite care services, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1005","description":"Respite care services, up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for Niemann-Pick disease","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3849","description":"Genetic testing for Niemann-Pick disease","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2630","description":"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PERMEADERM GLOVE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2017","description":"PERMEADERM GLOVE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4420","description":"Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0422","description":"Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7400","description":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6197","description":"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS/PASS FOREARM DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1818","description":"SPS/PASS FOREARM DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor <26.75.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1603","description":"Pain syndrome with Motor <26.75.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenting classes, nonphysician provider, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9444","description":"Parenting classes, nonphysician provider, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2136","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0804","description":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, hip disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5707","description":"Custom shaped protective cover, hip disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCUT TIBIAL NERVE STIMULATOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0736","description":"TRANSCUT TIBIAL NERVE STIMULATOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9213","description":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Newington type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1710","description":"Legg Perthes orthotic, (Newington type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STK FULL L/CHP 30-40MMHG C E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6560","description":"GD CMP STK FULL L/CHP 30-40MMHG C E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Safety equipment, device or accessory, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0700","description":"Safety equipment, device or accessory, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >48.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1401","description":"Cardiac with Motor >48.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD COMP STK THIGH LENG 40MM HG< EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6535","description":"GRD COMP STK THIGH LENG 40MM HG< EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Zinc paste impregnated bandage, nonelastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6456","description":"Zinc paste impregnated bandage, nonelastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2213","description":"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5658","description":"Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialized medical equipment, not otherwise specified, waiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2029","description":"Specialized medical equipment, not otherwise specified, waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable cycler set used with cycler dialysis machine, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4671","description":"Disposable cycler set used with cycler dialysis machine, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation; stretcher van, mileage; per mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2049","description":"Nonemergency transportation; stretcher van, mileage; per mile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4724","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG LW DNS FLT FM P/250SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6604","description":"GD CMP BDG LW DNS FLT FM P/250SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Phakic intraocular lens for correction of refractive error","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0596","description":"Phakic intraocular lens for correction of refractive error","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteogenesis stimulator, electrical, surgically implanted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0749","description":"Osteogenesis stimulator, electrical, surgically implanted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >42.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0701","description":"Fracture of lower extremity with Motor >42.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GRMNT GENITAL REG EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6570","description":"GRADIENT COMPR GRMNT GENITAL REG EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Laundry service, external, professional; per order","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5175","description":"Laundry service, external, professional; per order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, trifocal, plano to plus or minus 4.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2300","description":"Sphere, trifocal, plano to plus or minus 4.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection wheelchair seat cushion, width 22 in or greater, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2604","description":"Skin protection wheelchair seat cushion, width 22 in or greater, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, digital, monaural, CIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5254","description":"Hearing aid, digital, monaural, CIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric sized disposable incontinence product, brief/diaper, large size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4530","description":"Pediatric sized disposable incontinence product, brief/diaper, large size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"XCM BIOLOGIC TISSUE MATRIX PER SQ C","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4142","description":"XCM BIOLOGIC TISSUE MATRIX PER SQ C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion, 29 to 31 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2266","description":"Induced abortion, 29 to 31 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4435","description":"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1356","description":"Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Routine venipuncture for collection of specimen(s), single homebound, nursing home, or skilled nursing facility patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9529","description":"Routine venipuncture for collection of specimen(s), single homebound, nursing home, or skilled nursing facility patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, lift assist for elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6635","description":"Upper extremity addition, lift assist for elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4388","description":"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Private duty/independent nursing service(s), licensed, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1000","description":"Private duty/independent nursing service(s), licensed, up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR TRANSPORT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0431","description":"ROTARY WING AIR TRANSPORT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5060","description":"Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, headrest extension, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0966","description":"Manual wheelchair accessory, headrest extension, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2500","description":"Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6205","description":"Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HEARING AID BINAURAL ITE/ITC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5212","description":"HEARING AID BINAURAL ITE/ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4008","description":"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home; by licensed practical nurse, per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9124","description":"Nursing care, in the home; by licensed practical nurse, per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis or thrust bearing, lock, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2610","description":"Addition to lower extremity, pelvic control, hip joint, Clevis or thrust bearing, lock, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 4 standard, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0869","description":"Power wheelchair, group 4 standard, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, removable insert, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6691","description":"Upper extremity addition, removable insert, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice continuous home care; per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2043","description":"Hospice continuous home care; per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8417","description":"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor <26.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1303","description":"Rheumatoid, other arthritis with Motor <26.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >40.15 & Motor <51.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0502","description":"Non-traumatic spinal cord injury with Motor >40.15 & Motor <51.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3020","description":"Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0406","description":"Traumatic spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose test strips, for dialysis, per 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4772","description":"Blood glucose test strips, for dialysis, per 50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4010","description":"Cast supplies, short arm cast, adult (11 years +), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Peroneal straps, prefabricated, off-the-shelf, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0980","description":"Peroneal straps, prefabricated, off-the-shelf, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, bilateral, body worn","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5100","description":"Hearing aid, bilateral, body worn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair, pediatric size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1037","description":"Transport chair, pediatric size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, rocker bottom for total contact ankle-foot orthotic (AFO), for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2232","description":"Addition to lower extremity orthotic, rocker bottom for total contact ankle-foot orthotic (AFO), for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, disposable, any type, binaural","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5263","description":"Hearing aid, disposable, any type, binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0069","description":"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8030","description":"Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5336","description":"Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS 1/> NONTORSN JNT PRFAB CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3929","description":"HAND FINGER ORTHOSIS 1/> NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, monaural, behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5060","description":"Hearing aid, monaural, behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable breast prosthesis, silicone or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8600","description":"Implantable breast prosthesis, silicone or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care, in the home, by registered nurse, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1030","description":"Nursing care, in the home, by registered nurse, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6550","description":"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, monaural, body worn, bone conduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5040","description":"Hearing aid, monaural, body worn, bone conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6449","description":"Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS WRAP ADJ STRAPS NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6584","description":"GRADIENT COMPRS WRAP ADJ STRAPS NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAPS BK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6583","description":"GRAD COM WRAP W STRAPS BK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >24.15 & Motor <34.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0903","description":"Other orthopedic with Motor >24.15 & Motor <34.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2525","description":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor >25.85 & Motor <37.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0603","description":"Neurological with Motor >25.85 & Motor <37.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1686","description":"Hip orthotic (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5502","description":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic, rib belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0220","description":"Thoracic, rib belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Slab off prism, glass or plastic, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2710","description":"Slab off prism, glass or plastic, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8044","description":"Hemi-facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heel, new rubber, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3460","description":"Heel, new rubber, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, abduction rotation bar, including shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3140","description":"Foot, abduction rotation bar, including shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, breath tube kit for sip and puff interface","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2326","description":"Power wheelchair accessory, breath tube kit for sip and puff interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4176","description":"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"DME delivery, set up, and/or dispensing service component of another HCPCS code","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9901","description":"DME delivery, set up, and/or dispensing service component of another HCPCS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, drop lock, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2405","description":"Addition to knee joint, drop lock, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen concentrator, rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1392","description":"Portable oxygen concentrator, rental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospice routine home care; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2042","description":"Hospice routine home care; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2526","description":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy, inner cannula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4623","description":"Tracheostomy, inner cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport (SCT)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0434","description":"Specialty care transport (SCT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5057","description":"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair, fixed full-length arms, swing-away detachable elevating legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1083","description":"Hemi-wheelchair, fixed full-length arms, swing-away detachable elevating legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8948","description":"Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1230","description":"Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walker, with trunk support, adjustable or fixed height, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0140","description":"Walker, with trunk support, adjustable or fixed height, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tape, waterproof, per 18 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4452","description":"Tape, waterproof, per 18 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2230","description":"Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine sulfate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0160","description":"Dextroamphetamine sulfate, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic full leg splint, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4370","description":"Pneumatic full leg splint, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support, level 2 (ALS 2)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0433","description":"Advanced life support, level 2 (ALS 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion, 17 to 24 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2260","description":"Induced abortion, 17 to 24 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2328","description":"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KO ELAS W/ CONDYLE PADS & JO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1820","description":"KO ELAS W/ CONDYLE PADS & JO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HT INTERMITTENT ANTI-EMETIC INJ TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9370","description":"HT INTERMITTENT ANTI-EMETIC INJ TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive >18.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0102","description":"Stroke with Motor >44.45 & Motor <51.05 & Cognitive >18.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0090","description":"Sildenafil citrate, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4027","description":"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6965","description":"SHLDR DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2504","description":"Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor >49.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"Miscellaneous with Motor >49.15.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter, nondisposable, used with aerosol compressor or ultrasonic generator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7014","description":"Filter, nondisposable, used with aerosol compressor or ultrasonic generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5110","description":"Dispensing fee, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4197","description":"PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, hip joint, pelvic band, thigh flange, and pelvic belt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2192","description":"Addition to lower extremity fracture orthotic, hip joint, pelvic band, thigh flange, and pelvic belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, television caption decoder","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5271","description":"Assistive listening device, television caption decoder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0150","description":"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubular dressing with or without elastic, any width, per linear yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6457","description":"Tubular dressing with or without elastic, any width, per linear yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialized childcare, waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2027","description":"Specialized childcare, waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counseling, under physician supervision, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0265","description":"Genetic counseling, under physician supervision, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in, but less than or equal to 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6232","description":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in, but less than or equal to 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for maintenance of insulin infusion catheter, per week","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot, pair, infant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3212","description":"Benesch boot, pair, infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace trilateral socket brim","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4010","description":"Replace trilateral socket brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2350","description":"Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"XCELLISTEM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2004","description":"XCELLISTEM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6229","description":"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2300","description":"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, chest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0657","description":"Segmental pneumatic appliance for use with pneumatic compressor, chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0780","description":"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, nonsterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6217","description":"Gauze, nonimpregnated, nonsterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS, injectable, 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4113","description":"GRAFTJACKET XPRESS, injectable, 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aniseikonic, per lens, bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2218","description":"Aniseikonic, per lens, bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4627","description":"Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tape, nonwaterproof, per 18 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4450","description":"Tape, nonwaterproof, per 18 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0957","description":"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adult sized disposable incontinence product, protective underwear/pull-on, small size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4525","description":"Adult sized disposable incontinence product, protective underwear/pull-on, small size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Variable asphericity lens, bifocal, full field, glass or plastic, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2430","description":"Variable asphericity lens, bifocal, full field, glass or plastic, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement soft interface material, dynamic adjustable extension/flexion device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1820","description":"Replacement soft interface material, dynamic adjustable extension/flexion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, disposable underpad, large, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4541","description":"Incontinence product, disposable underpad, large, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Midfacial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8041","description":"Midfacial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis/stress vitamin supplement, oral, 100 capsules","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0194","description":"Dialysis/stress vitamin supplement, oral, 100 capsules","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter, Foley type, 2-way, all silicone, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4344","description":"Indwelling catheter, Foley type, 2-way, all silicone, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Heavy-duty wheelchair, fixed full-length arms, elevating legrest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1295","description":"Heavy-duty wheelchair, fixed full-length arms, elevating legrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, foam filled propulsion tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2216","description":"Manual wheelchair accessory, foam filled propulsion tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonprescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0510","description":"Nonprescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal fat absorption study","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3708","description":"Gastrointestinal fat absorption study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >39.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1701","description":"Major multiple trauma without brain or spinal cord injury with Motor >39.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4036","description":"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP STCK THIGH L 18-30MMHG CST E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6556","description":"GD CMP STCK THIGH L 18-30MMHG CST E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, passive restoration (shoulder cap only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6320","description":"Shoulder disarticulation, passive restoration (shoulder cap only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9494","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME&ANT APRON W/STRAP PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME&ANT APRON W/STRAP PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transportation: mini-bus, mountain area transports, or other transportation systems","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0120","description":"Nonemergency transportation: mini-bus, mountain area transports, or other transportation systems","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Helmet, protective, soft, prefabricated, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8000","description":"Helmet, protective, soft, prefabricated, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5701","description":"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0864","description":"Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, handgrip, cane, crutch, or walker, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4636","description":"Replacement, handgrip, cane, crutch, or walker, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol compressor, adjustable pressure, light duty for intermittent use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0572","description":"Aerosol compressor, adjustable pressure, light duty for intermittent use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin delivery device, disposable pen (including insulin); 3 ml size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5571","description":"Insulin delivery device, disposable pen (including insulin); 3 ml size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ORAL DVC NM ELC STIM TONGUE MUSC 90","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0493","description":"ORAL DVC NM ELC STIM TONGUE MUSC 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor <25.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0604","description":"Neurological with Motor <25.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"External defibrillator with integrated electrocardiogram analysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0617","description":"External defibrillator with integrated electrocardiogram analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric hook, switch or myoelectric controlled, adult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7009","description":"Electric hook, switch or myoelectric controlled, adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Air bubble detector for hemodialysis, each, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1530","description":"Air bubble detector for hemodialysis, each, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual adult size wheelchair, includes tilt in space","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1161","description":"Manual adult size wheelchair, includes tilt in space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4041","description":"Cast supplies, long leg splint, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5656","description":"Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EpiFix, injectable, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4145","description":"EpiFix, injectable, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAY WND MATRX SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAY WND MATRX SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, molded supracondylar suspension (PTS or similar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5670","description":"Addition to lower extremity, below knee, molded supracondylar suspension (PTS or similar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lambswool sheepskin pad, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0189","description":"Lambswool sheepskin pad, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6885","description":"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2398","description":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2203","description":"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product, disposable, penile wrap, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4545","description":"Incontinence product, disposable, penile wrap, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Additive for enteral formula (e.g., fiber)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4104","description":"Additive for enteral formula (e.g., fiber)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >49.55.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0801","description":"Replacement of lower extremity joint with Motor >49.55.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BG ROLL INEL SHT STR P/Y W E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6599","description":"GD CMP BG ROLL INEL SHT STR P/Y W E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5230","description":"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor >26.15 & Motor <36.35.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1302","description":"Rheumatoid, other arthritis with Motor >26.15 & Motor <36.35.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0849","description":"Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examination, established patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0612","description":"Annual gynecological examination, established patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5560","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol, oral, 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0191","description":"Misoprostol, oral, 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 MARIGEN SHLD PER CM2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2019","description":"KERECIS OMEGA3 MARIGEN SHLD PER CM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Back, planar, for pediatric size wheelchair including fixed attaching hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2291","description":"Back, planar, for pediatric size wheelchair including fixed attaching hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM GARM NOC DAY USE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6549","description":"GRAD COM GARM NOC DAY USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mifepristone, oral, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0190","description":"Mifepristone, oral, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5654","description":"Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1680","description":"Hip orthotic (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen contents, liquid, 1 unit equals 1 pound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8121","description":"Oxygen contents, liquid, 1 unit equals 1 pound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4152","description":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin alfa, 100 units (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4081","description":"Injection, epoetin alfa, 100 units (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, variable height, hi-lo, with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0255","description":"Hospital bed, variable height, hi-lo, with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fully-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1050","description":"Fully-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, flexible metal hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6610","description":"Upper extremity additions, flexible metal hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Deionizer water purification system, for hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1615","description":"Deionizer water purification system, for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0210","description":"Electric heat pad, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC THUMB MECHANICAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6036","description":"PROSTHETIC THUMB MECHANICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4408","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2220","description":"Bifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6404","description":"Gauze, nonimpregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2365","description":"Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXSUFFLATION BELT INCL ALL SUPL&ACC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4468","description":"EXSUFFLATION BELT INCL ALL SUPL&ACC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Patten bottom type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1755","description":"Legg Perthes orthotic, (Patten bottom type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Armrest, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0994","description":"Armrest, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >48.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1401","description":"Cardiac with Motor >48.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, back upholstery, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0982","description":"Wheelchair accessory, back upholstery, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, insert, removable, molded to patient model, Spenco, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3001","description":"Foot, insert, removable, molded to patient model, Spenco, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition of joint to upper extremity orthotic, any material; per joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3956","description":"Addition of joint to upper extremity orthotic, any material; per joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assembly, complete, with semipneumatic tire, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0072","description":"Front caster assembly, complete, with semipneumatic tire, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7368","description":"Lithium ion battery charger, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap; latex, replacement only, per set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5113","description":"Leg strap; latex, replacement only, per set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2391","description":"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, knee disarticulation, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5640","description":"Addition to lower extremity, knee disarticulation, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6883","description":"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Toilet rail, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0243","description":"Toilet rail, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator pulse generator, dual array, nonrechargeable, includes extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8688","description":"Implantable neurostimulator pulse generator, dual array, nonrechargeable, includes extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disease management program; initial assessment and initiation of the program","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0315","description":"Disease management program; initial assessment and initiation of the program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Combination oral/nasal mask, used with continuous positive airway pressure device, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7027","description":"Combination oral/nasal mask, used with continuous positive airway pressure device, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, thigh length, 18-30 mm Hg, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6533","description":"Gradient compression stocking, thigh length, 18-30 mm Hg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted ambulance service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Customized item (list in addition to code for basic item)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1002","description":"Customized item (list in addition to code for basic item)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0855","description":"Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx replacement battery/accessory, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8505","description":"Artificial larynx replacement battery/accessory, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8049","description":"Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST WRIST EXTENSION DEV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1807","description":"ADJUST WRIST EXTENSION DEV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B5000","description":"PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0911","description":"Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, convert firm shoe counter to soft counter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3590","description":"Orthopedic shoe addition, convert firm shoe counter to soft counter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury with Motor <16.05 & Age >63.5.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0404","description":"Traumatic spinal cord injury with Motor <16.05 & Age >63.5.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5811","description":"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary opening, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6708","description":"Terminal device, hand, mechanical, voluntary opening, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compact (portable) travel hemodialyzer system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1635","description":"Compact (portable) travel hemodialyzer system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sling or seat, patient lift, canvas or nylon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0621","description":"Sling or seat, patient lift, canvas or nylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1028","description":"Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL RECHARG SYS EXTERNAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8695","description":"EXTERNAL RECHARG SYS EXTERNAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4407","description":"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0639","description":"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Blood tubing, arterial and venous combined, for hemodialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4755","description":"Blood tubing, arterial and venous combined, for hemodialysis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRD COMP STK FULL /CHAP 40MM HG< EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6538","description":"GRD COMP STK FULL /CHAP 40MM HG< EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6255","description":"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Emergency response system; purchase only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5162","description":"Emergency response system; purchase only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home health aide or certified nurse assistant, providing care in the home; per hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9122","description":"Home health aide or certified nurse assistant, providing care in the home; per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9365","description":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4387","description":"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0602","description":"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5523","description":"Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781","description":"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Large volume nebulizer, disposable, unfilled, used with aerosol compressor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7007","description":"Large volume nebulizer, disposable, unfilled, used with aerosol compressor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasonic/electronic aerosol generator with small volume nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0574","description":"Ultrasonic/electronic aerosol generator with small volume nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2206","description":"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MYRIAD MORCELLS 4 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"MYRIAD MORCELLS 4 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >29.15 & Motor <39.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1503","description":"Pulmonary with Motor >29.15 & Motor <39.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1831","description":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8097","description":"Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental gradient pressure pneumatic appliance, full leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0671","description":"Segmental gradient pressure pneumatic appliance, full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7034","description":"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0838","description":"Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >31.15 & Motor <38.55.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1403","description":"Cardiac with Motor >31.15 & Motor <38.55.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid other","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1305","description":"Rheumatoid other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0825","description":"Power wheelchair, group 2 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis with motor score from 39 -47.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1204","description":"Osteoarthritis with motor score from 39 -47.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2020","description":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home health respiratory therapy, initial evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5180","description":"Home health respiratory therapy, initial evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWC GP 1 STD PORT CAP CHAIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0814","description":"PWC GP 1 STD PORT CAP CHAIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Protamine sulfate, for hemodialysis, per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4802","description":"Protamine sulfate, for hemodialysis, per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CONFORM BAND S W>=3\" <5\"/YD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6446","description":"CONFORM BAND S W>=3\" <5\"/YD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, silicone or equal, without integral adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8030","description":"Breast prosthesis, silicone or equal, without integral adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0953","description":"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1025","description":"Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, waist belt, webbing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5688","description":"Addition to lower extremity, below knee, waist belt, webbing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >38.85 & Motor <44.45.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0104","description":"Stroke with Motor >38.85 & Motor <44.45.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1100","description":"Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LE PRSTH ENDOSKL KD AK HD ROT U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5926","description":"ADD LE PRSTH ENDOSKL KD AK HD ROT U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6245","description":"Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0180","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, liquid (spray, brush, etc.), per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4369","description":"Ostomy skin barrier, liquid (spray, brush, etc.), per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, nonstandard seat frame width, 24-27 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2341","description":"Power wheelchair accessory, nonstandard seat frame width, 24-27 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadrilateral socket brim, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4020","description":"Replace quadrilateral socket brim, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4714","description":"Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Delivery or service to high risk areas requiring escort or extra protection, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9381","description":"Delivery or service to high risk areas requiring escort or extra protection, per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance response and treatment, no transport","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0998","description":"Ambulance response and treatment, no transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1/>NONTORSION JNT PRFAB CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1/>NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8930","description":"Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"RAD W/O BACKUP NON-INV INTFC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0470","description":"RAD W/O BACKUP NON-INV INTFC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Combination, bilateral, lumbo-sacral, hip, femur orthotic providing adduction and internal rotation control, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1690","description":"Combination, bilateral, lumbo-sacral, hip, femur orthotic providing adduction and internal rotation control, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1035","description":"Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG HI DNS FM PD ANY SZ/SH E","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6601","description":"GD CMP BDG HI DNS FM PD ANY SZ/SH E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2388","description":"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pump for water circulating pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0236","description":"Pump for water circulating pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Safety eyeglass frames","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0516","description":"Safety eyeglass frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine, oral, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0104","description":"Zidovudine, oral, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation, prevocational, waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2014","description":"Habilitation, prevocational, waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q8 HRS PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9502","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q8 HRS PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2402","description":"Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7505","description":"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral axial decompression, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9090","description":"Vertebral axial decompression, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stimulator, electronic shock unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745","description":"Neuromuscular stimulator, electronic shock unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, (e.g., figure of eight type), single cable design","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6675","description":"Upper extremity addition, harness, (e.g., figure of eight type), single cable design","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0842","description":"Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0786","description":"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift, fixed system, includes all components/accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0640","description":"Patient lift, fixed system, includes all components/accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2050","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Neurological with Motor <25.85.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0604","description":"Neurological with Motor <25.85.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2366","description":"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, standard control cable, extra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6655","description":"Upper extremity addition, standard control cable, extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Treatment planning and care coordination management for cancer initial treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0353","description":"Treatment planning and care coordination management for cancer initial treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, total electric (head, foot, and height adjustments), without side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0297","description":"Hospital bed, total electric (head, foot, and height adjustments), without side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace leather cuff KAFO-AFO, calf or distal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4110","description":"Replace leather cuff KAFO-AFO, calf or distal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5642","description":"Addition to lower extremity, above knee, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2038","description":"Knee-ankle-foot orthotic (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD CMPR GMT F LG&FT PAD NT CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6527","description":"GRAD CMPR GMT F LG&FT PAD NT CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, combination single axis ankle and flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5975","description":"All lower extremity prostheses, combination single axis ankle and flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tubing with integrated heating element for use with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4604","description":"Tubing with integrated heating element for use with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0107","description":"Stroke with Motor >26.15 & Motor <30.05.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Bedside rails, half-length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0305","description":"Bedside rails, half-length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Osteogenesis stimulator, electrical, noninvasive, spinal applications","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0748","description":"Osteogenesis stimulator, electrical, noninvasive, spinal applications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPLY TRANS ELEC NERVE STIM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4543","description":"SUPPLY TRANS ELEC NERVE STIM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, below knee, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5700","description":"Replacement, socket, below knee, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand held low vision aids and other nonspectacle mounted aids","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2600","description":"Hand held low vision aids and other nonspectacle mounted aids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME LANCING/TEST CARTRIDGES","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4271","description":"HOME LANCING/TEST CARTRIDGES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ CGM S & ACC 1 M S=1 U S","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4238","description":"SPL ALW ADJ CGM S & ACC 1 M S=1 U S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace metal bands KAFO-AFO, calf or distal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4090","description":"Replace metal bands KAFO-AFO, calf or distal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5622","description":"Addition to lower extremity, test socket, knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2113","description":"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5648","description":"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interface for cough stimulating device, includes all components, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7020","description":"Interface for cough stimulating device, includes all components, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0455","description":"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6510","description":"Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sign language or oral interpretive services, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1013","description":"Sign language or oral interpretive services, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy tube collar/holder, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7526","description":"Tracheostomy tube collar/holder, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2400","description":"Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame, attachments for complex pelvic traction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0947","description":"Fracture frame, attachments for complex pelvic traction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2530","description":"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4314","description":"Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0848","description":"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement bulb/lamp for ultraviolet light therapy system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4633","description":"Replacement bulb/lamp for ultraviolet light therapy system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4172","description":"Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Standard hemi (low seat) wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0002","description":"Standard hemi (low seat) wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0740","description":"Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COM WRAP W STRAPS FOOT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6587","description":"GRAD COM WRAP W STRAPS FOOT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6266","description":"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance service, basic life support, nonemergency transport, (BLS)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0428","description":"Ambulance service, basic life support, nonemergency transport, (BLS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >38.55 & Motor <48.85.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1402","description":"Cardiac with Motor >38.55 & Motor <48.85.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy, in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9128","description":"Speech therapy, in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth transmission, per minute, professional services bill separately","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1014","description":"Telehealth transmission, per minute, professional services bill separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; without barrier attached (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5062","description":"Ostomy pouch, drainable; without barrier attached (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MEDISKIN PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4135","description":"MEDISKIN PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power standing system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2301","description":"Wheelchair accessory, power standing system, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Case management, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2022","description":"Case management, per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Eye glass case","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2756","description":"Eye glass case","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe, with or without needle, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4657","description":"Syringe, with or without needle, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5514","description":"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint spacer, silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8658","description":"Interphalangeal joint spacer, silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Youth sized disposable incontinence product, protective underwear/pull-on, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4534","description":"Youth sized disposable incontinence product, protective underwear/pull-on, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1805","description":"Major multiple trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert, disposable, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5265","description":"Ear mold/insert, disposable, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinary catheter anchoring device, leg strap, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4334","description":"Urinary catheter anchoring device, leg strap, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6581","description":"GRADIENT COMPRESSION GLOVE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0111","description":"Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4033","description":"Cast supplies, long leg cylinder cast, adult (11 years +), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4387","description":"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cannula, nasal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4615","description":"Cannula, nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol wipes, per box","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4245","description":"Alcohol wipes, per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Perianal fecal collection pouch with adhesive, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4330","description":"Perianal fecal collection pouch with adhesive, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Raised toilet seat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0244","description":"Raised toilet seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS/DRY PER SQ CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4150","description":"ALLOWRAP DS/DRY PER SQ CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical dressing holder, nonreusable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4461","description":"Surgical dressing holder, nonreusable, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Special back height for wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1228","description":"Special back height for wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2626","description":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, polycentric hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6600","description":"Upper extremity additions, polycentric hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unipuncture control system for hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1580","description":"Unipuncture control system for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Protective body sock, prefabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0984","description":"Protective body sock, prefabricated, off-the-shelf, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0815","description":"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Splint, prefabricated, elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8452","description":"Splint, prefabricated, elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oversize lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2780","description":"Oversize lens, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8039","description":"Breast prosthesis, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Physician visit at member's home, outside of a capitation arrangement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0273","description":"Physician visit at member's home, outside of a capitation arrangement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0435","description":"Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0145","description":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheel attachment, rigid pick-up walker, per pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0155","description":"Wheel attachment, rigid pick-up walker, per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"STAT laboratory request (situations other than S3601)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3600","description":"STAT laboratory request (situations other than S3601)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6246","description":"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe, Oxford with supinator or pronator, junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3203","description":"Orthopedic shoe, Oxford with supinator or pronator, junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sacral nerve stimulation test lead, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4290","description":"Sacral nerve stimulation test lead, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1836","description":"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, molded distal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5668","description":"Addition to lower extremity, below knee, molded distal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, elastic with joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1812","description":"Knee orthosis, elastic with joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4423","description":"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4313","description":"Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation device used for cancer treatment, includes all accessories, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0766","description":"Electrical stimulation device used for cancer treatment, includes all accessories, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, flex-walk system or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5981","description":"All lower extremity prostheses, flex-walk system or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3252","description":"Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5530","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy clamp, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4363","description":"Ostomy clamp, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, includes all internal and external components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8690","description":"Auditory osseointegrated device, includes all internal and external components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, adapter for amputee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0959","description":"Manual wheelchair accessory, adapter for amputee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2312","description":"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5643","description":"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5150","description":"Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool, nonportable (built-in type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1310","description":"Whirlpool, nonportable (built-in type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2540","description":"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IV tubing extension set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1015","description":"IV tubing extension set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2205","description":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCUT TIBIAL STIM BY APP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0737","description":"TRANSCUT TIBIAL STIM BY APP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Metacarpophalangeal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8630","description":"Metacarpophalangeal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2615","description":"Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY HYDRATION TX;  PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9373","description":"HOME INFUSION THERAPY HYDRATION TX;  PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"MARIGEN PACTO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2038","description":"MARIGEN PACTO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Emergency response system; service fee, per month (excludes installation and testing)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5161","description":"Emergency response system; service fee, per month (excludes installation and testing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Sphere, bifocal, plano to plus or minus 4.00d, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2200","description":"Sphere, bifocal, plano to plus or minus 4.00d, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, inside shoe, tapered, up to one-half in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3332","description":"Lift, elevation, inside shoe, tapered, up to one-half in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid or assistive listening device/supplies/accessories, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5267","description":"Hearing aid or assistive listening device/supplies/accessories, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Complete cycle, zygote intrafallopian transfer (ZIFT), case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4014","description":"Complete cycle, zygote intrafallopian transfer (ZIFT), case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2265","description":"Addition to lower extremity, long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2040","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, PMMA, spherical, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2500","description":"Contact lens, PMMA, spherical, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Voice amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8510","description":"Voice amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS/PASS ELBOW DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1801","description":"SPS/PASS ELBOW DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Accessory for speech generating device, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2599","description":"Accessory for speech generating device, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE ACRYLC SOCKT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5629","description":"ADD LW EXTRM BELW KNEE ACRYLC SOCKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, disposable, any type, monaural","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5262","description":"Hearing aid, disposable, any type, monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BELW ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6935","description":"BELW ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"CORPL P THERAC P ALLAC P MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2035","description":"CORPL P THERAC P ALLAC P MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or substance abuse services, family/couple counseling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1006","description":"Alcohol and/or substance abuse services, family/couple counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5856","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >39.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1701","description":"Major multiple trauma without brain or spinal cord injury with Motor >39.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day care services, adult; per half day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5101","description":"Day care services, adult; per half day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1704","description":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ADJUST WRIST FLEXION DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1808","description":"ADJUST WRIST FLEXION DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9279","description":"Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"G4DERM PLUS/SUPRELLO PR ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2037","description":"G4DERM PLUS/SUPRELLO PR ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Needle, sterile, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4215","description":"Needle, sterile, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"W/C MANUAL SWINGAWAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1028","description":"W/C MANUAL SWINGAWAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"FOOT ADDUCTUS POSITIONING DEVC ADJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3161","description":"FOOT ADDUCTUS POSITIONING DEVC ADJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION ARM SLEEVE EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6578","description":"GRADIENT COMPRESSION ARM SLEEVE EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3080","description":"Foot, arch support, nonremovable, attached to shoe, metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta flowable amnion (25 mg per cc); per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4185","description":"Cellesta flowable amnion (25 mg per cc); per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTRABUC AM RF EMF CANCER TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0767","description":"INTRABUC AM RF EMF CANCER TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Flutter device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8185","description":"Flutter device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Receiver (monitor); external, for use with interstitial continuous glucose monitoring system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9278","description":"Receiver (monitor); external, for use with interstitial continuous glucose monitoring system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2090","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6214","description":"Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3170","description":"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adoptive immunotherapy i.e. development of specific antitumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2107","description":"Adoptive immunotherapy i.e. development of specific antitumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6676","description":"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; COUDE TIP EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352","description":"INTERMIT URIN CATH; COUDE TIP EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELECTRO PUMP ENEMA REUSABLE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4479","description":"ELECTRO PUMP ENEMA REUSABLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair of orthotic device, repair or replace minor parts","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4210","description":"Repair of orthotic device, repair or replace minor parts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6233","description":"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gene expression profiling panel for use in the management of breast cancer treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3854","description":"Gene expression profiling panel for use in the management of breast cancer treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home care training to home care client, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5108","description":"Home care training to home care client, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPEECH VOL MOD SYS INC ALL COMP&ACC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3000","description":"SPEECH VOL MOD SYS INC ALL COMP&ACC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Procarbazine HCl, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0182","description":"Procarbazine HCl, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0839","description":"Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator radiofrequency receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8682","description":"Implantable neurostimulator radiofrequency receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2628","description":"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Multipositional patient support system, with integrated lift, patient accessible controls","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0636","description":"Multipositional patient support system, with integrated lift, patient accessible controls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4412","description":"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Medical foods for inborn errors of metabolism","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9435","description":"Medical foods for inborn errors of metabolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Headgear used with positive airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7035","description":"Headgear used with positive airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, varus/valgus correction (T) strap, padded/lined or malleolus pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2270","description":"Addition to lower extremity, varus/valgus correction (T) strap, padded/lined or malleolus pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0854","description":"Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Major multiple trauma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1705","description":"Major multiple trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WHEELCHR TRANSPORT SECUR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1022","description":"WHEELCHR TRANSPORT SECUR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2405","description":"Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair component, drive wheel gear box, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2369","description":"Power wheelchair component, drive wheel gear box, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, fixed height, without side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0290","description":"Hospital bed, fixed height, without side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Permanent implantable contraceptive intratubal occlusion device(s) and delivery system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4264","description":"Permanent implantable contraceptive intratubal occlusion device(s) and delivery system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, wrist, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3984","description":"Upper extremity fracture orthotic, wrist, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Semi-implantable middle ear hearing prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5095","description":"Semi-implantable middle ear hearing prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1951","description":"AFO SPIRAL PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical trays","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4550","description":"Surgical trays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Finger splint, static","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4049","description":"Finger splint, static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthotic)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3225","description":"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6450","description":"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Topical hyperbaric oxygen chamber, disposable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4575","description":"Topical hyperbaric oxygen chamber, disposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4158","description":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor >26.15 & Motor <36.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1302","description":"Rheumatoid, other arthritis with Motor >26.15 & Motor <36.35.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, urinary, for use on faceplate, plastic, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4381","description":"Ostomy pouch, urinary, for use on faceplate, plastic, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous dialysis supplies, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4913","description":"Miscellaneous dialysis supplies, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Other motorized/power wheelchair base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0014","description":"Other motorized/power wheelchair base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Battery, heavy-duty; replacement for patient-owned ventilator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4611","description":"Battery, heavy-duty; replacement for patient-owned ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive bandage, first aid type, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6413","description":"Adhesive bandage, first aid type, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1945","description":"Ankle-foot orthotic (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, fixed height, with any type side rails, with mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0250","description":"Hospital bed, fixed height, with any type side rails, with mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chlorhexidine containing antiseptic, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4248","description":"Chlorhexidine containing antiseptic, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2502","description":"Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9347","description":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1011","description":"Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Child sitting services for children of the individual receiving alcohol and/or substance abuse services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1009","description":"Child sitting services for children of the individual receiving alcohol and/or substance abuse services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor <26.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1303","description":"Rheumatoid, other arthritis with Motor <26.15.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oral cushion for combination oral/nasal mask, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7028","description":"Oral cushion for combination oral/nasal mask, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition supply kit; premix, per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4220","description":"Parenteral nutrition supply kit; premix, per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, half leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0669","description":"Segmental pneumatic appliance for use with pneumatic compressor, half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified maxillofacial prosthesis, by report, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8048","description":"Unspecified maxillofacial prosthesis, by report, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Spirometer, nonelectronic, includes all accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9284","description":"Spirometer, nonelectronic, includes all accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9361","description":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6025","description":"Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor >36.25 & Motor <47.65.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1002","description":"Amputation, lower extremity with Motor >36.25 & Motor <47.65.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SPS/PASS ANKLE DEVICE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1816","description":"SPS/PASS ANKLE DEVICE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, nonstandard seat frame width, 20-23 in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2340","description":"Power wheelchair accessory, nonstandard seat frame width, 20-23 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Underarm pad, crutch, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4635","description":"Underarm pad, crutch, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair with fixed arm, footrests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1221","description":"Wheelchair with fixed arm, footrests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replacement electrodes for use with automated external defibrillator, garment type only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0609","description":"Replacement electrodes for use with automated external defibrillator, garment type only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0660","description":"Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder universal joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6650","description":"Upper extremity addition, shoulder universal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosthetic device, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7520","description":"Repair prosthetic device, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide, per pint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4244","description":"Alcohol or peroxide, per pint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ACC GRD CPRSN GMT/WRP ADJ STRAP NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6593","description":"ACC GRD CPRSN GMT/WRP ADJ STRAP NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2387","description":"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Aniseikonic lens, single vision","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2118","description":"Aniseikonic lens, single vision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT TORSO/SHLDR CUSTM EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6569","description":"GRAD COMPR GMT TORSO/SHLDR CUSTM EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Tretinoin, topical, 5 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0117","description":"Tretinoin, topical, 5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing, monaural, glasses","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5190","description":"Hearing aid, contralateral routing, monaural, glasses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin, intermediate acting (NPH or LENTE); 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5552","description":"Insulin, intermediate acting (NPH or LENTE); 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2622","description":"Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2628","description":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL >16 </=48 SQ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL >16 </=48 SQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9343","description":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery, rechargeable, for nonprosthetic use, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4601","description":"Lithium ion battery, rechargeable, for nonprosthetic use, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"UE ADD EXT POWER MYOEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6700","description":"UE ADD EXT POWER MYOEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Meals for clinical trial participant and one caregiver/companion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9996","description":"Meals for clinical trial participant and one caregiver/companion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6203","description":"Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4035","description":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Disposable catheter tips for peritoneal dialysis, per 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4860","description":"Disposable catheter tips for peritoneal dialysis, per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve), custom made, medium weight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8422","description":"Gradient pressure aid (sleeve), custom made, medium weight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM, ear level receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5284","description":"Assistive listening device, personal FM/DM, ear level receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SUPPL AND ACCESS LUNG EXPAN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7021","description":"SUPPL AND ACCESS LUNG EXPAN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6221","description":"Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"NEOMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2021","description":"NEOMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder lock mechanism, external powered actuator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6648","description":"Upper extremity addition, shoulder lock mechanism, external powered actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, paraspinal uprights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2670","description":"Addition to lower extremity, thoracic control, paraspinal uprights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic implant, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8699","description":"Prosthetic implant, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Home glucose disposable monitor, includes test strips","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9275","description":"Home glucose disposable monitor, includes test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin, per pound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4265","description":"Paraffin, per pound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, foam caster tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2219","description":"Manual wheelchair accessory, foam caster tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of abductor muscle(s) of vocal cord","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2340","description":"Chemodenervation of abductor muscle(s) of vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nurse practitioner visit at member's home, outside of a capitation arrangement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0274","description":"Nurse practitioner visit at member's home, outside of a capitation arrangement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SEG PNEUM COMP 2 ARM CHEST","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0658","description":"SEG PNEUM COMP 2 ARM CHEST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7506","description":"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6550","description":"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9992","description":"Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric controlled, adult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7007","description":"Electric hand, switch or myoelectric controlled, adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens, PMMA, color vision deficiency, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2503","description":"Contact lens, PMMA, color vision deficiency, per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1354","description":"Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0395","description":"Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electronic salivary reflex stimulator (intraoral/noninvasive)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0755","description":"Electronic salivary reflex stimulator (intraoral/noninvasive)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0371","description":"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, rotation wrist unit with cable lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6625","description":"Upper extremity addition, rotation wrist unit with cable lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stockings above knee length, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4490","description":"Surgical stockings above knee length, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1229","description":"Wheelchair, pediatric size, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar, freestanding, complete with grab bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0940","description":"Trapeze bar, freestanding, complete with grab bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Replace soft interface material, foot drop splint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4394","description":"Replace soft interface material, foot drop splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Day care services, adult; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5100","description":"Day care services, adult; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair, pediatric size, rigid, adjustable, without seating system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1237","description":"Wheelchair, pediatric size, rigid, adjustable, without seating system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >53.35 & Cognitive >23.5.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0201","description":"Traumatic brain injury with Motor >53.35 & Cognitive >23.5.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Social work visit, in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9127","description":"Social work visit, in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Filter for use in a tracheostoma heat and moisture exchange system, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7504","description":"Filter for use in a tracheostoma heat and moisture exchange system, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"SILICON GEL INSERT W/WO LOCK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6692","description":"SILICON GEL INSERT W/WO LOCK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2000","description":"Knee-ankle-foot orthotic (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Collagen nerve cuff (NeuroMatrix), per 0.5 cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9355","description":"Collagen nerve cuff (NeuroMatrix), per 0.5 cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2385","description":"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy accessory; convex insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5093","description":"Ostomy accessory; convex insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or substance abuse services, skills development","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1012","description":"Alcohol and/or substance abuse services, skills development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hand orthotic (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3919","description":"Hand orthotic (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid, contralateral routing device, monaural, behind the ear (bte)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5181","description":"Hearing aid, contralateral routing device, monaural, behind the ear (bte)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"GD CMP BDG SUP PAD FM P/YD ANY W EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6605","description":"GD CMP BDG SUP PAD FM P/YD ANY W EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2331","description":"Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy, re-evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9152","description":"Speech therapy, re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Face mask interface, replacement for full face mask, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7031","description":"Face mask interface, replacement for full face mask, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patches, nonlegend","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4991","description":"Nicotine patches, nonlegend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5331","description":"Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, without mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0266","description":"Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, without mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, for use with cochlear implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5273","description":"Assistive listening device, for use with cochlear implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Syringe with needle, sterile 2 cc, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4207","description":"Syringe with needle, sterile 2 cc, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2627","description":"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral-control, molded to patient model, with interface material, (Minerva type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0710","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral-control, molded to patient model, with interface material, (Minerva type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic camping, day, waiver; each session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2037","description":"Therapeutic camping, day, waiver; each session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry for hearing aid evaluation to determine the level and degree of hearing loss","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0618","description":"Audiometry for hearing aid evaluation to determine the level and degree of hearing loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3250","description":"Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Padding for compression bandage, roll","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8430","description":"Padding for compression bandage, roll","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5585","description":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer, sterile, 16 sq in or less, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6206","description":"Contact layer, sterile, 16 sq in or less, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure pad for mattress, standard mattress length and width","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0199","description":"Dry pressure pad for mattress, standard mattress length and width","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric, controlled, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7008","description":"Electric hand, switch or myoelectric, controlled, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, contralateral, monaural","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5200","description":"Dispensing fee, contralateral, monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome with Motor <26.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1603","description":"Pain syndrome with Motor <26.75.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ELEC STM SUP EXT IMPLNT NEUROSTM PM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8678","description":"ELEC STM SUP EXT IMPLNT NEUROSTM PM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Over-bed table","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0274","description":"Over-bed table","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Pain syndrome M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1604","description":"Pain syndrome M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"BLS routine disposable supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0382","description":"BLS routine disposable supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Insulin pump initiation, instruction in initial use of pump (pump not included)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9145","description":"Insulin pump initiation, instruction in initial use of pump (pump not included)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame, freestanding, includes weights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0930","description":"Fracture frame, freestanding, includes weights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Mercaptopurine, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0108","description":"Mercaptopurine, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Nipple prosthesis, reusable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8032","description":"Nipple prosthesis, reusable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >23.75 & Motor <29.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0505","description":"Non-traumatic spinal cord injury with Motor >23.75 & Motor <29.25.,comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Complex lymphedema therapy, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8950","description":"Complex lymphedema therapy, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9358","description":"Dermal substitute, native, nondenatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair, group 2 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0836","description":"Power wheelchair, group 2 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gauze, nonimpregnated, sterile, pad size more than 16 sq in, less than or equal to 48 sq in, without adhesive border, each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6403","description":"Gauze, nonimpregnated, sterile, pad size more than 16 sq in, less than or equal to 48 sq in, without adhesive border, each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar or lumbar rib pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1040","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar or lumbar rib pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Urinal; female, jug-type, any material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0326","description":"Urinal; female, jug-type, any material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"OMEGAVEN 10 G LIPIDS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4187","description":"OMEGAVEN 10 G LIPIDS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee, contralateral routing system, binaural","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5240","description":"Dispensing fee, contralateral routing system, binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"ARTHROFLEX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4125","description":"ARTHROFLEX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent limb compression device (includes all accessories), not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0676","description":"Intermittent limb compression device (includes all accessories), not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Excellagen, 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4149","description":"Excellagen, 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4390","description":"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9364","description":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, short arm splint, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4023","description":"Cast supplies, short arm splint, pediatric (0-10 years), plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Fluid circulating cold pad with pump, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0218","description":"Fluid circulating cold pad with pump, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Patient education, not otherwise classified, nonphysician provider, individual, per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9445","description":"Patient education, not otherwise classified, nonphysician provider, individual, per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6621","description":"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Residential care, not otherwise specified (NOS), waiver; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2032","description":"Residential care, not otherwise specified (NOS), waiver; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of rigid dressing only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6388","description":"Immediate postsurgical or early fitting, application of rigid dressing only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy, in the home, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9129","description":"Occupational therapy, in the home, per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYN SPLNT PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYN SPLNT PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Gloves, nonsterile, per 100","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4927","description":"Gloves, nonsterile, per 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"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":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4020","description":"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLV REUSE PER MTH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4436","description":"IRRIGATION SUPPLY SLV REUSE PER MTH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Restraints, any type (body, chest, wrist, or ankle)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0710","description":"Restraints, any type (body, chest, wrist, or ankle)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"TRANS ELEC STIM AURICULAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0721","description":"TRANS ELEC STIM AURICULAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, pneumatic propulsion tire, any size, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2211","description":"Manual wheelchair accessory, pneumatic propulsion tire, any size, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot, pair, junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3214","description":"Benesch boot, pair, junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation syringe, bulb or piston, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4322","description":"Irrigation syringe, bulb or piston, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]},
{"negotiation_arrangement":"ffs","name":"PWR SEAT ELEV SYS FOR CRT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2298","description":"PWR SEAT ELEV SYS FOR CRT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[184632167]}]}]}