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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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{"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":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[238855338]}]},
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