{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                           
{"provider_group_id":1038215776,"provider_groups":[{"npi":[1265446082],"tin":{"type":"ein","value":"450468428"}}]}
],"in_network": [
{"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":"fee schedule","negotiated_rate":10.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":27.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":63.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":202.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":28.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":121.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":29.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":63.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":121.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":16.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":15.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":52.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":16.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":48.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":39.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":6.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":106.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":63.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":76.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":42.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":42.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":58.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":36.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":10.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":27.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":123.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":23.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":36.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":11.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":33.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":10.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":9.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":33.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":53.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":152.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":21.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":15.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":36.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":15.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":308.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":43.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":211.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":211.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":36.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":34.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":13.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":88.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":21.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":28.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":12.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":24.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":39.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":383.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":100.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":16.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":175.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":8.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":29.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":145.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":23.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":23.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":6.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":14.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":24.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":67.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":25.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":147.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":51.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":62.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":33.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":300.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":32.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":90.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":36.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":6.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":56.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":61.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":30.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":37.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":144.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":101.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":106.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":9.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":34.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":8.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":66.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":61.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":25.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":34.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":56.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":375.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":19.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":4.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":21.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":11.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":52.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":86.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":205.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":5.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":86.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":22.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":15.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":6.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":38.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":46.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":8.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":3.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":96.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":57.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":13.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":56.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":56.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":52.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":1.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":44.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":30.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":6.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":11.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":2.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":57.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":7.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]},
{"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":"fee schedule","negotiated_rate":10.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":["NU"]}],"provider_references":[1038215776]}]}]}